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PEACOCK PHARMACY LLC NPI 1699086546


NPI Information

NPI: 1699086546
Provider Name: PEACOCK PHARMACY LLC

Doing Business As: PEACOCK PHARMACY LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
8147 WARREN H ABERNATHY HWY
SPARTANBURG, SC
ZIP 29301
Phone: (864) 587-5707
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PEACOCK PHARMACY LLC is a community/retail pharmacy pharmacy in Spartanburg, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PEACOCK PHARMACY LLC NPI is 1699086546. The provider is registered as an organization entity type.
The provider Is Doing Business As Peacock Pharmacy Llc.

The provider's business location address is:

8147 WARREN H ABERNATHY HWY
SPARTANBURG, SC
ZIP 29301-451
Phone: (864) 587-5707

The provider's authorized official is Adam Wellington .
The authorized official title is President and has the following contact phone number (423) 547-3224.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 7/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14229731OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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