Peninsula Pharmacy Escanaba LLC

NPI #1619408424 in Escanaba, Michigan

Provider Information

NPI Number
1619408424
Entity Type
Organization
Organization Name
Peninsula Pharmacy Escanaba LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 23, 2017
Last Updated
Nov 16, 2022

Practice Location

Address
2500 7TH AVE S
Address 2
STE 200
ZIP Code
49829-1292
Phone
(906) 225-3902

Authorized Official

Name
DR. TYLER J JENEMA, PHARM.D.
Title
PRESIDENT
Phone
(906) 225-3902

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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