Organization
PENINSULA PHARMACY HEALTH SYSTEMS CAMPUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER J JENEMA PHARM.D. (PHARMACIST/OWNER)
(906) 869-0999
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 869-0999
Mailing address
300 N MCCLELLAN AVE, MARQUETTE, MI 49855-3920
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/25/2014
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