Provider Demographics
NPI:1134736960
Name:FLOWERS, BRENT (PHARMD)
Entity type:Individual
Prefix:
First Name:BRENT
Middle Name:
Last Name:FLOWERS
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 1:411 MAIN STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALESTINE
Mailing Address - State:AR
Mailing Address - Zip Code:72372
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:PALESTINE
Practice Address - State:AR
Practice Address - Zip Code:72372
Practice Address - Country:US
Practice Address - Phone:123-456-7891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD153471835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist