Organization
PENINSULA PHARMACY PLUS LLC
Active
Organization
PENINSULA PHARMACY PLUS LLC
Active
Other names
Peninsula Pharmacy Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER J JENEMA PHARM.D. (PRESIDENT)
(906) 225-1450
Entity
Organization
Contact information
Practice address
300 N MCCLELLAN AVE, MARQUETTE, MI 49855-3920
(906) 225-1450
(906) 225-1501
Mailing address
300 N MCCLELLAN AVE, MARQUETTE, MI 49855-3920
(906) 225-1450
(906) 225-1501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010508
MI
Other
Enumeration date
03/13/2014
Last updated
02/17/2020
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