MEDICARE: PEOPLES PHARMACY INC

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	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy
3	3336C0003X	Community/Retail Pharmacy	AR20341	AR

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
2	1992752	OTHER		PK

General Provider Information

NPI Number	:	1487714739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 259
Second Line	:
City	:	MURFREESBORO
State	:	AR
Zip	:	71958-0259
Country	:	US
Telephone Number	:	870-285-2111
Fax Number	:	870-285-3357

Provider Business Practice Location Address
First Line	:	317 E 13TH ST
Second Line	:
City	:	MURFREESBORO
State	:	AR
Zip	:	71958-9541
Country	:	US
Telephone Number	:	870-285-2111
Fax Number	:	870-285-3357

Authorized Official
Title or Position	:	OWNER AND PIC
Name	:	DR. BRADLEY DEAL
Credential	:	PHARMD
Telephone Number	:	870-285-2111

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	11/22/2021

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Directions to “PEOPLES PHARMACY INC ” Practice Location

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