Provider Demographics
NPI:1679502645
Name:FLOWER PHARMACY PROF ASSOC
Entity Type:Organization
Organization Name:FLOWER PHARMACY PROF ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-524-4500
Mailing Address - Street 1:87 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-3156
Mailing Address - Country:US
Mailing Address - Phone:603-524-4500
Mailing Address - Fax:603-528-9476
Practice Address - Street 1:87 SPRING ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3156
Practice Address - Country:US
Practice Address - Phone:603-524-4500
Practice Address - Fax:603-528-9476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99007364Medicaid
NH0643270001Medicare NSC