SearchMissouri183500000X

Jerry Peacock, RPH

NPI 1659655330 · on the registry since 2011 · sole proprietor

Practice

Address
2681 W Republic Rd
Springfield, MO 65807
Phone
(417) 877-8540
Fax
(417) 877-8541
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri