NPI 1144646290

Peninsula Pharmacy Plus LLC

Organisation Community/Retail Pharmacy Marquette, MI

Practice location

Address: 300 N McClellan Ave, Marquette, MI 49855-3920
Phone: (906) 225-1450
Fax: (906) 225-1501

Authorised official

Name: Tyler J Jenema
Title: President
Phone: (906) 225-1450

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 5301010508 (MI)

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Registry record

NPI: 1144646290
Entity type: Organization
NPI issued: 13 Mar 2014
Record last updated: 17 Feb 2020

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.