Peacock Pharmacy,Llc
LBN: Peacock Pharmacy Llc
Peacock Pharmacy,Llc is an health care organization with primary practice located at 550 S Church St Ste 9 , Spartanburg SC 29306-3306. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Peacock Pharmacy Llc can be contacted via phone (864) 596-4501, or through Brooks, Diandra via phone (864) 596-4501.
Contact Information
Primary practice address
550 S Church St Ste 9
Spartanburg SC 29306-3306
Phone: (864) 596-4501
Fax: (864) 596-4503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 10993 | South Carolina |
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1942528278 |
|---|---|
| LBN Legal business name | Peacock Pharmacy Llc |
| DBA Doing business as | Peacock Pharmacy,Llc |
| Authorized official | Brooks, Diandra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2010 |
| Last updated | Sep 1st, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942528278 | NPPES |
| Other | 4229680 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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