MR. Brent H Peacock

NPI #1225338239 in Jackson, Wyoming

Provider Information

NPI Number
1225338239
Entity Type
Individual
Name
MR. Brent H Peacock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 25, 2010
Last Updated
Oct 25, 2010

Practice Location

Address
1425 S HIGHWAY 89
State
Wyoming
ZIP Code
83001-4330
Phone
(307) 733-8746

Specialties & Taxonomy Codes

Specialty
Pharmacist

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