MR. BRENT PEACOCK
Pharmacist
Active
Individual
NPI: 1225338239
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | 2773 (WY) |
Frequently Asked Questions
NPI 1225338239 is the National Provider Identifier for MR. BRENT PEACOCK, a Pharmacist provider located in Jackson, WY. This NPI was enumerated on October 25, 2010.
MR. BRENT PEACOCK practices at 1425 S HIGHWAY 89, Jackson, WY 83001.
Quick Facts
- NPI
- 1225338239
- Type
- Individual
- Enumerated
- Oct 25, 2010
- Last Updated
- Oct 25, 2010
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