Provider Demographics
NPI:1720290117
Name:FLYNN, CATHERINE M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 KNOX DR
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2152
Mailing Address - Country:US
Mailing Address - Phone:903-819-2101
Mailing Address - Fax:
Practice Address - Street 1:707 LAMAR AVENUE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-6519
Practice Address - Country:US
Practice Address - Phone:903-819-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist