| NPI | 1952612848 |
|---|---|
| Doing Business As | PEACOCK PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | ADAM WELLINGTON President 423-547-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-07-26 |