Individual provider · Type 1 NPI

Brent H. Peacock

Pharmacist · Jackson, WY

NPI number 1225338239 Active

Practice location

1425 S Highway 89
Jackson, WY 83001-4330

Call (307) 733-8746 Map

Fax (307) 733-8824

Mailing address

PO Box 11124
Jackson, WY 83002-1124

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	2773 (WY)

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 1225338239

Brent H. Peacock's National Provider Identifier is 1225338239, issued on Oct 25, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, WY. The record was last updated on Oct 25, 2010.