Provider Demographics
NPI:1558535187
Name:FLAHERTY, JOHN M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:FLAHERTY
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 1:4755 STANTON-OGLETOWN RD CHRISTIANA CARE PHARMACY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-3500
Mailing Address - Country:US
Mailing Address - Phone:302-733-2864
Mailing Address - Fax:302-733-5353
Practice Address - Street 1:4755 STANTON-OGLETOWN RD CHRISTIANA CARE PHARMACY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-3500
Practice Address - Country:US
Practice Address - Phone:302-733-2864
Practice Address - Fax:302-733-5353
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA1-0002756OtherPHARMACIST LICENSE
PARP438873OtherPHARMACIST LICENSE