Organization
RICHARD LEIGHTON PEATMAN
Active
Other names
MEADOW VISTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEIGHTON PEATMAN PHARM.D. (OWNER)
(530) 878-7440
Entity
Organization
Contact information
Practice address
16893 PLACER HILLS RD, MEADOW VISTA, CA 95722-9531
(530) 878-7440
Mailing address
16893 PLACER HILLS RD, MEADOW VISTA, CA 95722-9531
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998848
PK
—
05
—
PHA420610
—
CA
Enumeration date
09/12/2006
Last updated
11/02/2016
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