Individual provider · Type 1 NPI

Ben J. Peacock, PHARMACIST

Pharmacist · Shiprock, NM

NPI number 1720208929 Active

Practice location

US Hwy 491 North
Shiprock, NM 87420

Call (505) 368-7269 Map

Fax (505) 368-7262

Mailing address

PO Box 160
Shiprock, NM 87420-0160

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X18305 (CO)
Pharmacist 183500000XRP00007253 (NM)

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 1720208929

Ben J. Peacock, PHARMACIST's National Provider Identifier is 1720208929, issued on Apr 27, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Shiprock, NM. The record was last updated on Nov 29, 2011.