MEDICARE: PEOPLES PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467815613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES PHARMACY, LLC

Provider Business Mailing Address
First Line	:	1446 CHURCH ST STE C
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-2448
Country	:	US
Telephone Number	:	757-227-4677
Fax Number	:	757-961-4083

Provider Business Practice Location Address
First Line	:	1446 CHURCH ST
Second Line	:	SUITE C
City	:	NORFOLK
State	:	VA
Zip	:	23504-2415
Country	:	US
Telephone Number	:	757-227-4677
Fax Number	:	757-961-4083

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANNA CASEY PEOPLES
Credential	:	PHARM D.
Telephone Number	:	757-548-0365

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	01/29/2020

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Directions to “PEOPLES PHARMACY, LLC ” Practice Location

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