Peacock, Avon Jackson

Peacock, Avon Jackson is an sole proprietor health care provider with primary practice located at 205 W Alexander St , Plant City FL 33563-7158. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peacock, Avon Jackson can be contacted via phone (813) 754-9449.

Contact Information

Primary practice address
205 W Alexander St Plant City FL 33563-7158
Fax: (813) 719-7902
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS0016928 Florida

Profile Details

NPI number 1275664807
LBN Legal business name Peacock, Avon Jackson
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers