NPI 1679618474
Peninsula Pharmacy INC
Practice location
- Address
- 1414 W Fair Ave Suite 133, Marquette, MI 49855-2675
- Phone
- (906) 225-3902
- Fax
- (906) 226-2661
Authorised official
- Name
- Kent L Jenema
- Title
- Director of Pharmacy Operations
- Phone
- (906) 225-3902
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1679618474
- Entity type
- Organization
- NPI issued
- 20 Feb 2007
- Record last updated
- 16 Nov 2022
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.