Healthcare Provider Details

I. General information

NPI: 1386570950
Provider Name (Legal Business Name): MR. DANIEL ALAN FLYNN III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TREY FLYNN

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 S COWLEY ST
SPOKANE WA
99202-1330
US

IV. Provider business mailing address

1122 E CELESTA AVE UNIT 2
SPOKANE WA
99202-4933
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-6000
  • Fax:
Mailing address:
  • Phone: 253-569-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberIR61473834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: