Individual
DR. ALEXSANDER TEWELDE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7515 PERKINS RD, BATON ROUGE, LA 70808-4381
(225) 769-6084
Mailing address
28145 WALKER RD S, WALKER, LA 70785-6027
(225) 791-5640
(225) 791-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019734
LA
Other
Enumeration date
03/12/2015
Last updated
05/06/2023
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