Healthcare Provider Details

I. General information

NPI: 1720290117
Provider Name (Legal Business Name): CATHERINE M FLYNN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 LAMAR AVENUE
PARIS TX
75460-6519
US

IV. Provider business mailing address

5221 KNOX DR
THE COLONY TX
75056-2152
US

V. Phone/Fax

Practice location:
  • Phone: 903-819-2101
  • Fax:
Mailing address:
  • Phone: 903-819-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44267
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: