| Clarence Edsel Peacock, RPH | |
|
101 Locust St, Lyman, SC 29365-1503 | |
| (864) 439-1040 | |
| (864) 949-0461 |
| Full Name | Clarence Edsel Peacock |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 101 Locust St, Lyman, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255689154 | NPI | - | NPPES |
| 3631 | Other | SC | SOUTH CAROLINA LICENSE #3631 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 3631 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Edsel Peacock, RPH 101 Locust St, Lyman, SC 29365-1503 Ph: (864) 439-1040 | Clarence Edsel Peacock, RPH 101 Locust St, Lyman, SC 29365-1503 Ph: (864) 439-1040 |
Mrs. Karen Kelly, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Locust St, Lyman, SC 29365 Phone: 864-439-1040 Fax: 864-949-0461 | |
Dr. Anna Skinner Wyatt, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Locust St, Lyman, SC 29365 Phone: 864-439-1040 | |
Dr. Sidfun Wong, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Locust St, Lyman, SC 29365 Phone: 864-439-1040 | |
Shiva Shila Tavassoli, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Locust St, Lyman, SC 29365 Phone: 864-439-1040 | |
William Richard High, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 204 Spartanburg Hwy, Lyman, SC 29365 Phone: 864-439-6127 | |
Mrs. Jessica Miranda Vanoverstraeten, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Locust St, Lyman, SC 29365 Phone: 864-439-1040 |