Healthcare Provider Details

I. General information

NPI: 1487714739
Provider Name (Legal Business Name): PEOPLES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 11/22/2021
Certification Date: 11/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E 13TH ST
MURFREESBORO AR
71958-9541
US

IV. Provider business mailing address

PO BOX 259
MURFREESBORO AR
71958-0259
US

V. Phone/Fax

Practice location:
  • Phone: 870-285-2111
  • Fax: 870-285-3357
Mailing address:
  • Phone: 870-285-2111
  • Fax: 870-285-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberAR20341
License Number StateAR

VIII. Authorized Official

Name: DR. BRADLEY DEAL
Title or Position: OWNER AND PIC
Credential: PHARMD
Phone: 870-285-2111