Healthcare Provider Details

I. General information

NPI: 1669707873
Provider Name (Legal Business Name): WILLIAM JOSEPH FLYNT PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 WESTERN BLVD
JACKSONVILLE NC
28546-6347
US

IV. Provider business mailing address

319 W CREEKVIEW DR
HAMPSTEAD NC
28443-2139
US

V. Phone/Fax

Practice location:
  • Phone: 910-355-7056
  • Fax: 910-355-7059
Mailing address:
  • Phone: 910-270-3341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19584
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: