Organization
RICHARD LEIGHTON PEATMAN
Active
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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