Individual
KATHERINE DENISE PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4837 KENTUCKY AVE, INDIANAPOLIS, IN 46221-3533
(317) 830-4259
(317) 830-4103
Mailing address
5819 RALSTON AVE, INDIANAPOLIS, IN 46220-2729
(574) 540-9129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026634A
IN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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