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Clarence Edsel Peacock, RPH
Pharmacist in Lyman, South Carolina
NPI 1255689154

Clarence Edsel Peacock is a Pharmacist based in Lyman, SC. Clarence Edsel Peacock practices in Lyman, SC and has the professional credentials of RPH. The NPI Number for Clarence Edsel Peacock is 1255689154 and holds a License No. 3631 (South Carolina).

The current practice location address for Clarence Edsel Peacock is 101 Locust St, Lyman, SC and can be reached out via phone at 864-439-1040 and via fax at 864-949-0461.

Location: 101 Locust St, Lyman, SC, 29365-1503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255689154
Provider Name
Clarence Edsel Peacock
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
101 Locust St, Lyman, SC, 29365-1503
Phone Number
864-439-1040
Fax Number
864-949-0461
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3631 01 SC SOUTH CAROLINA LICENSE #3631
institution
Provider Business Practice Location Address Details
Address
101 Locust St
City
Lyman
State
South Carolina
Zip
29365-1503
Phone Number
864-439-1040
Fax Number
864-949-0461
person
Provider Business Mailing Address Details
Address
101 Locust St
City
Lyman
State
South Carolina
Zip
29365-1503
Phone Number
864-439-1040
Fax Number
864-949-0461
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
3631 (South Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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