Provider Demographics
NPI:1689738387
Name:K P FLYNN INC
Entity Type:Organization
Organization Name:K P FLYNN INC
Other - Org Name:MORRIS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:570-773-3860
Mailing Address - Street 1:15 EAST CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MAHANOY CITY
Mailing Address - State:PA
Mailing Address - Zip Code:17948
Mailing Address - Country:US
Mailing Address - Phone:570-773-3860
Mailing Address - Fax:570-773-3860
Practice Address - Street 1:15 EAST CENTER ST
Practice Address - Street 2:
Practice Address - City:MAHANOY CITY
Practice Address - State:PA
Practice Address - Zip Code:17948
Practice Address - Country:US
Practice Address - Phone:570-773-3860
Practice Address - Fax:570-773-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411626L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0553340001Medicare ID - Type Unspecified