Healthcare Provider Details

I. General information

NPI: 1104747609
Provider Name (Legal Business Name): LOUIS FLOWERS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 SAINT PAUL ST
BALTIMORE MD
21202-2123
US

IV. Provider business mailing address

15514 SIR EDWARDS DR
UPPER MARLBORO MD
20772-8092
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15890
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: