Healthcare Provider Details

I. General information

NPI: 1689738387
Provider Name (Legal Business Name): K P FLYNN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 EAST CENTER ST
MAHANOY CITY PA
17948
US

IV. Provider business mailing address

15 EAST CENTER ST
MAHANOY CITY PA
17948
US

V. Phone/Fax

Practice location:
  • Phone: 570-773-3860
  • Fax: 570-773-3860
Mailing address:
  • Phone: 570-773-3860
  • Fax: 570-773-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP411626L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAREN P FLYNN
Title or Position: PRESIDENT PHARMACIST
Credential: RPH
Phone: 570-773-3860