Provider Demographics
NPI:1568160380
Name:PEOPLES PHARMACY LTC
Entity Type:Organization
Organization Name:PEOPLES PHARMACY LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
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:PHARMD
Authorized Official - Phone:757-227-4677
Mailing Address - Street 1:1446 CHURCH ST STE D
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 STE D
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2448
Practice Address - Country:US
Practice Address - Phone:757-227-4677
Practice Address - Fax:757-961-4083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLES PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1467815613Medicaid