Peacock Pharmacy Llc

LBN: Peacock Pharmacy Llc
Peacock Pharmacy Llc is an health care organization with primary practice located at 8147 Warren H Abernathy Hwy , Spartanburg SC 29301-2451. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 587-5707, or through Wellington, Adam via phone (423) 547-3224.

Contact Information

Primary practice address
8147 Warren H Abernathy Hwy Spartanburg SC 29301-2451
Phone: (864) 587-5707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wellington, Adam
Phone: (423) 547-3224

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1699086546
LBN Legal business name Peacock Pharmacy Llc
DBA Doing business as Peacock Pharmacy Llc
Authorized official Wellington, Adam
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Jul 16th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699086546 NPPES
Other 4229731 NCPDP PROVIDER IDENTIFICATION NUMBER

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