Provider Demographics
NPI:1073730206
Name:FLANARY, WILLIAM P (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:P
Last Name:FLANARY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 S HIGHWAY 385
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-9309
Mailing Address - Country:US
Mailing Address - Phone:806-297-3202
Mailing Address - Fax:
Practice Address - Street 1:102 W WAYLON JENNINGS BLVD
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3806
Practice Address - Country:US
Practice Address - Phone:806-385-4250
Practice Address - Fax:806-385-4712
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist