Individual
LESLIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
421 12TH ST STE 101, COLUMBUS, GA 31901-2522
(706) 576-5862
Mailing address
421 12TH ST STE 101, COLUMBUS, GA 31901-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029945
GA
Other
Enumeration date
07/21/2017
Last updated
09/19/2024
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