Provider Demographics
NPI:1700473428
Name:FLANAGAN, JOY B (RPH)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:B
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 BRUMSEY CT SW
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-5802
Mailing Address - Country:US
Mailing Address - Phone:702-218-3672
Mailing Address - Fax:
Practice Address - Street 1:46 MIDDLEWAY PIKE
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:WV
Practice Address - Zip Code:25428-3713
Practice Address - Country:US
Practice Address - Phone:304-229-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0003976183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist