Organization
T.&C. FLYNNS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER S FLYNN RPH (VICE PRESIDENT)
(413) 445-5567
Entity
Organization
Contact information
Practice address
173 ELM ST, PITTSFIELD, MA 01201-6530
(413) 445-5567
(413) 448-6122
Mailing address
173 ELM ST, PITTSFIELD, MA 01201-6530
(413) 445-5567
(413) 448-6122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1415
MA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022439
BOSTON MEDICAL CTR
MA
05
—
0404667
—
MA
01
—
12410
HEALTH NEW ENGLAND
MA
01
—
2211794
NCPDP#
MA
01
—
CW6861
EMPIRE BC/BS
MA
01
—
FL196654
BC/BS OF MA
MA
Enumeration date
10/24/2006
Last updated
07/30/2012
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