Provider Demographics
NPI:1922603687
Name:FLOWERS, CHALONDA RENEE' (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:CHALONDA
Middle Name:RENEE'
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 S STATE ROAD 101
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:IN
Mailing Address - Zip Code:47353-9372
Mailing Address - Country:US
Mailing Address - Phone:765-580-0693
Mailing Address - Fax:
Practice Address - Street 1:2150 CHESTER BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1217
Practice Address - Country:US
Practice Address - Phone:765-935-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025648A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist