IndividualActive
Brent Peacock
NPI 1225338239 · Pharmacist · Jackson, WY
Provider details
- NPI number
- 1225338239
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2773 (WY)
Practice location
1425 S Highway 89
Jackson, WY 83001-4330
Phone: (307) 733-8746
Fax: (307) 733-8824
Mailing address
Po Box 11124
Jackson, WY 83002-1124
Registry dates
- Enumerated
- 2010-10-25
- Last updated
- 2010-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.