Provider Demographics
NPI:1467815613
Name:PEOPLES PHARMACY, LLC
Entity Type:Organization
Organization Name:PEOPLES PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:CASEY
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:757-548-0365
Mailing Address - Street 1:1446 CHURCH ST STE C
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2448
Mailing Address - Country:US
Mailing Address - Phone:757-227-4677
Mailing Address - Fax:757-961-4083
Practice Address - Street 1:1446 CHURCH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2415
Practice Address - Country:US
Practice Address - Phone:757-227-4677
Practice Address - Fax:757-961-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467815613Medicaid