Provider Demographics
NPI:1558366872
Name:PEATMAN, RICHARD LEIGHTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEIGHTON
Last Name:PEATMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:MEADOW VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:95722-9503
Mailing Address - Country:US
Mailing Address - Phone:530-878-8864
Mailing Address - Fax:530-878-2470
Practice Address - Street 1:16893 PLACER HILLS RD
Practice Address - Street 2:
Practice Address - City:MEADOW VISTA
Practice Address - State:CA
Practice Address - Zip Code:95722-9531
Practice Address - Country:US
Practice Address - Phone:530-878-7440
Practice Address - Fax:530-878-2470
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320141835P1200X
CAPA10712363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant