Individual
HEATHER PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 FOUR MILE DR, SUITE 3, KALISPELL, MT 59901-2632
(406) 752-0440
(406) 752-0443
Mailing address
1235 CLAYTON LN, COLUMBIA FALLS, MT 59912-4495
(406) 892-0299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6324
MT
Other
Enumeration date
11/23/2010
Last updated
05/10/2012
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