Provider Demographics
NPI:1346241643
Name:FLANAGAN, ROGER DEAN (PHARM D, CDE)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:DEAN
Last Name:FLANAGAN
Suffix:
Gender:M
Credentials:PHARM D, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 N WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-3953
Mailing Address - Country:US
Mailing Address - Phone:940-668-6868
Mailing Address - Fax:940-668-1899
Practice Address - Street 1:217 N WEAVER ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-3953
Practice Address - Country:US
Practice Address - Phone:940-668-6868
Practice Address - Fax:940-668-1899
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist