Individual
DR. THOMAS DEVON PEIGHTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2401 E NORTH ST, GREENVILLE, SC 29615-1401
(864) 244-1851
(864) 244-3430
Mailing address
2401 E NORTH ST, GREENVILLE, SC 29615-1401
(864) 244-1851
(864) 244-3430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12213
SC
183500000X
Pharmacist
19651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12213
STATE PHARMACIST LICENSE
SC
01
—
19651
MARYLAND PHARMACIST LICENSE
MD
Enumeration date
07/08/2013
Last updated
07/08/2013
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