Provider Demographics
NPI:1265929087
Name:FLOWERS PHARMACY LLC
Entity type:Organization
Organization Name:FLOWERS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:RASPBERRY
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:870-540-6404
Mailing Address - Street 1:1401 STATE STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-5856
Mailing Address - Country:US
Mailing Address - Phone:870-534-8366
Mailing Address - Fax:870-534-2113
Practice Address - Street 1:1401 STATE STREET
Practice Address - Street 2:SUITE A
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-5856
Practice Address - Country:US
Practice Address - Phone:870-534-8366
Practice Address - Fax:870-534-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR10958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty