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
Phone: (813) 754-9449
Fax: (813) 719-7902
Website:
Health care specialties
Specialty | Code | License # | 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.
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