Peacock, Jerry Wayne

Peacock, Jerry Wayne is an sole proprietor health care provider with primary practice located at 2681 W Republic Rd , Springfield MO 65807-4006. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peacock, Jerry Wayne can be contacted via phone (417) 877-8540.

Contact Information

Primary practice address
2681 W Republic Rd Springfield MO 65807-4006
Phone: (417) 877-8540
Fax: (417) 877-8541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 27824 Missouri

Profile Details

NPI number 1659655330
LBN Legal business name Peacock, Jerry Wayne
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Sep 29th, 2011 - about 15 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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