Peacock, Joseph Paul

Peacock, Joseph Paul is an individual health care provider with primary practice located at 111 S Magnolia Dr Ste 39 , Tallahassee FL 32301-2958. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peacock, Joseph Paul can be contacted via phone (850) 656-3414.

Contact Information

Primary practice address
111 S Magnolia Dr Ste 39 Tallahassee FL 32301-2958
Phone: (850) 656-3414
Fax: (850) 877-5916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS 16929 Florida

Profile Details

NPI number 1295879757
LBN Legal business name Peacock, Joseph Paul
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295879757 NPPES
Florida Other PS 16929 PHARMACY LICENSE NUMBER

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