Individual provider · Type 1 NPI

Jerry Wayne Peacock, RPH

Pharmacist · Springfield, MO

NPI number 1659655330 Active

Practice location

2681 W Republic Rd
Springfield, MO 65807-4006

Fax (417) 877-8541

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X27824 (MO)

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 1659655330

Jerry Wayne Peacock, RPH's National Provider Identifier is 1659655330, issued on Sep 29, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Springfield, MO. The record was last updated on Sep 29, 2011.