Individual provider · Type 1 NPI
Richard Maynard Peacock, RPH
Pharmacist · Kentwood, MI
Practice location
4443 Breton Rd SE, Suite A
Kentwood, MI 49508-8424
Mailing address
1856 Millbank St SE
Grand Rapids, MI 49508-2671
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 5302020861 (MI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1073657326
Richard Maynard Peacock, RPH's National Provider Identifier is 1073657326, issued on Feb 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kentwood, MI. The record was last updated on Jul 8, 2007.