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General NPI Number Information
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NPI Number | 1518484260
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Entity Type | Organization
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Legal Business Name | T.&C. FLYNNS PHARMACY INC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 173 ELM ST
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City | PITTSFIELD
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State | MA
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Zip | 01201
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Country | US
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Telephone | 413-445-5567
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Fax | 413-448-6122
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Provider Business Mailing Address
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Address Line | 173 ELM ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-6530
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Country | US
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Telephone | 413-445-5567
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Fax | 413-448-6122
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER STEPHEN FLYNN
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Credential |
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Telephone | 413-445-5567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | DS1415
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | DS1415
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License Number State | MA
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