Provider Demographics
NPI:1285346312
Name:FLANNERY, RHONDA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:LYNN
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RHONDA
Other - Middle Name:LYNN
Other - Last Name:PRIMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:105 S RIDGECREST AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-6206
Mailing Address - Country:US
Mailing Address - Phone:417-719-4510
Mailing Address - Fax:417-893-3908
Practice Address - Street 1:105 S RIDGECREST AVE STE 3A
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-6206
Practice Address - Country:US
Practice Address - Phone:417-719-4510
Practice Address - Fax:417-893-3908
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000174386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist