Individual
NICOLE A FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
240 W BASELINE RD, PHARMACY 3799, MESA, AZ 85210-6107
(480) 668-9512
(480) 668-9514
Mailing address
240 W BASELINE RD, PHARMACY 3799, MESA, AZ 85210-6107
(480) 668-9512
(480) 668-9514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PR5105
ME
183500000X
Pharmacist
Primary
S018922
AZ
Other
Enumeration date
04/24/2013
Last updated
01/10/2016
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