Provider Demographics
NPI:1407981988
Name:FLYNN, DARRYL FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:FRANCIS
Last Name:FLYNN
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 1:15 ASPEN COURT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-6615
Mailing Address - Country:US
Mailing Address - Phone:561-734-2591
Mailing Address - Fax:
Practice Address - Street 1:1606 SOUTH FEDERAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435
Practice Address - Country:US
Practice Address - Phone:561-736-4456
Practice Address - Fax:561-736-3657
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0017345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000645OtherNABP
1000645OtherNABP
1000645OtherNABP