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NPI Code Detail

MEDICARE: MR. DAVID FLAHERTY RPH

MEDICARE: MR. DAVID FLAHERTY RPH
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
1183500000XPharmacist9647CT

General Provider Information

NPI Number : 1275974511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID FLAHERTY RPH
Provider Business Mailing Address
First Line : 500 FARMINGTON AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105-3106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 FARMINGTON AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06105-3106
Country : US
Telephone Number : 860-522-9289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 07/15/2013

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Directions to “ MR. DAVID FLAHERTY RPH” Practice Location

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