Organization
PENINSULA PHARMACY ESCANABA LLC
Active
Other names
Peninsula Pharmacy Escanaba
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER J JENEMA PHARM.D. (PRESIDENT)
(906) 225-3902
Entity
Organization
Contact information
Practice address
2500 7TH AVE S, STE 200, ESCANABA, MI 49829-1292
(906) 225-3902
(906) 226-2661
Mailing address
1414 W. FAIR AVE, STE 133, MARQUETTE, MI 49855
(906) 225-3902
(906) 226-2661
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
11/16/2022
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