MEDICARE: DR. GARY CLAYTON FLOWERS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist	0202212058	VA

General Provider Information

NPI Number	:	1205269685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY CLAYTON FLOWERS PHARMD

Provider Business Mailing Address
First Line	:	9277 THORNWOOD LN
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-4628
Country	:	US
Telephone Number	:	843-687-5412
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 N SECTOR CT
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2859
Country	:	US
Telephone Number	:	843-687-5412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	08/20/2013

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