Organization · Type 2 NPI

Peninsula Pharmacy Escanaba LLC

Community/Retail Pharmacy · Escanaba, MI

NPI number 1619408424 Active

Practice location

2500 7th Ave S, Ste 200
Escanaba, MI 49829-1292

Call (906) 225-3902 Map

Fax (906) 226-2661

Mailing address

1414 W. Fair Ave, Ste 133
Marquette, MI 49855

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

43 other providers at this address

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NPI record

NPI: 1619408424
Entity type: Organization (Type 2)
Issued: Mar 23, 2017
Last updated: Nov 16, 2022
Status: Active

Other names

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Peninsula Pharmacy Escanaba · doing business as
Peninsula Pharmacy Escanaba · doing business as

Authorized official

Dr. Tyler J Jenema, PharmD
President
(906) 225-3902

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619408424

Peninsula Pharmacy Escanaba LLC's National Provider Identifier is 1619408424, issued on Mar 23, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Escanaba, MI. The record was last updated on Nov 16, 2022.