NPI 1003807413

Peninsula Pharmacy INC

Organisation Community/Retail Pharmacy Marquette, MI

Practice location

Address: 1414 W Fair Ave Suite 133, Marquette, MI 49855-2675
Phone: (906) 225-3902
Fax: (906) 226-2661

Authorised official

Name: Praveen Challa
Title: President
Phone: (906) 225-3902

Registered specialties (5)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5301010345 (MI)

Other Pharmacy providers in Michigan →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 5301010345 (MI)

Other Pharmacist providers in Michigan →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 1199700001 (MI)

Other Durable Medical Equipment & Medical Supplies providers in Michigan →

Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X Licence 1003807413 (MI)

Home Infusion Therapy Pharmacy

Suppliers Taxonomy 3336H0001X Licence 5301010345 (MI)

Registry record

NPI: 1003807413
Entity type: Organization
NPI issued: 3 Nov 2005
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.