Provider Demographics
NPI:1528406857
Name:FLINT, MATTHEW N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:N
Last Name:FLINT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4976 DARTMOUTH COLLEGE HWY
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1413
Mailing Address - Country:US
Mailing Address - Phone:603-747-3300
Mailing Address - Fax:603-747-8272
Practice Address - Street 1:4976 DARTMOUTH COLLEGE HWY
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785-1413
Practice Address - Country:US
Practice Address - Phone:603-747-3300
Practice Address - Fax:603-747-8272
Is Sole Proprietor?:No
Enumeration Date:2013-06-09
Last Update Date:2013-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3857183500000X
VT0.330089751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist