Provider Demographics
NPI:1417366840
Name:PEOPLES PHARMACY TWO, INC.
Entity Type:Organization
Organization Name:PEOPLES PHARMACY TWO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-797-5384
Mailing Address - Street 1:1818 HARDEN BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-1812
Mailing Address - Country:US
Mailing Address - Phone:863-688-3682
Mailing Address - Fax:863-858-4832
Practice Address - Street 1:1818 HARDEN BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-1812
Practice Address - Country:US
Practice Address - Phone:863-688-3683
Practice Address - Fax:863-858-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH268433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy