Individual
COLLIN JAMES PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3312 E 29TH ST, BRYAN, TX 77802-2730
(979) 776-9128
Mailing address
3312 E 29TH ST, BRYAN, TX 77802-2730
(979) 776-9128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53049
TX
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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