# NEW PENINSULA PHARMACY PLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsula Pharmacy Plus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922862424
- **Authorized official:** TYLER J JENEMA PHARMD (MEMBER)
- **Authorized official phone:** (906) 225-1450

## Contact information

- **Practice address:** 300 N MCCLELLAN AVE, MARQUETTE, MI 49855-3920
- **Practice address phone:** (906) 225-1450
- **Practice address fax:** (906) 225-1501
- **Mailing address:** 300 N MCCLELLAN AVE, MARQUETTE, MI 49855-3920
- **Mailing address phone:** (906) 225-1450
- **Mailing address fax:** (906) 225-1501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/16/2024