Provider Demographics
NPI:1114158797
Name:PEEK, JEREMY JUSTIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:JUSTIN
Last Name:PEEK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 KENSINGTON PL
Mailing Address - Street 2:APT B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2280
Mailing Address - Country:US
Mailing Address - Phone:828-255-5870
Mailing Address - Fax:828-255-5773
Practice Address - Street 1:275 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2606
Practice Address - Country:US
Practice Address - Phone:828-255-5870
Practice Address - Fax:828-255-5773
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC206901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist