Individual
LILY L PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
23475 NE NOVELTY HILL RD, REDMOND, WA 98053-5501
(425) 636-0440
Mailing address
23475 NE NOVELTY HILL RD, REDMOND, WA 98053-5501
(425) 636-0440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00071668
WA
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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