Provider Demographics
NPI:1437298213
Name:FLOWERS PHARMACY
Entity Type:Organization
Organization Name:FLOWERS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:870-534-8366
Mailing Address - Street 1:1401 STATE STREET STE A
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-5856
Mailing Address - Country:US
Mailing Address - Phone:870-534-8366
Mailing Address - Fax:870-850-7413
Practice Address - Street 1:1401 STATE STREET STE A
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-5856
Practice Address - Country:US
Practice Address - Phone:870-534-8366
Practice Address - Fax:870-850-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR10958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0410958OtherNADP