Individual
MR. AVON JACKSON PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
205 W ALEXANDER ST, PLANT CITY, FL 33563-7158
(813) 754-9449
(813) 719-7902
Mailing address
2804 CHITTY RD, PLANT CITY, FL 33565-5500
(813) 754-3053
(813) 719-7902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0016928
FL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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