Provider Demographics
NPI:1649935511
Name:FLOW'S PHARMACY, INC
Entity type:Organization
Organization Name:FLOW'S PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DESHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-449-5366
Mailing Address - Street 1:1506 E BROADWAY STE 118
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5896
Mailing Address - Country:US
Mailing Address - Phone:573-826-1236
Mailing Address - Fax:
Practice Address - Street 1:1506 E BROADWAY STE 118
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5896
Practice Address - Country:US
Practice Address - Phone:573-449-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy