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1275664807
AVON JACKSON PEACOCK
PLANT CITY, FL
NPI
1275664807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS0016928)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. AVON JACKSON PEACOCK RPH
205 W ALEXANDER ST
PLANT CITY, FL 33563-7158
Phone number: 813-754-9449
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Mailing Address
Mr. AVON JACKSON PEACOCK RPH
2804 CHITTY RD
PLANT CITY, FL 33565-5500
Phone number: 813-754-3053
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