institution
Peninsula Pharmacy Inc
Home Infusion Agency in Marquette, Michigan
NPI 1679618474

Peninsula Pharmacy Inc is a Home Infusion Agency based in Marquette, MI. Peninsula Pharmacy Inc practices in Marquette, MI. The NPI Number for Peninsula Pharmacy Inc is 1679618474 and holds a License No. 5301006679 (Michigan).

The current practice location address for Peninsula Pharmacy Inc is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3902 and via fax at 906-226-2661.

Location: 1414 W Fair Ave, Marquette, MI, 49855-2675
institution
Provider Profile Details
NPI Number
1679618474
Provider Name
Peninsula Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
1414 W Fair Ave, Marquette, MI, 49855-2675
Phone Number
906-225-3902
Fax Number
906-226-2661
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
470E21056 01 MI BCBS-MI HIT
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3902
Fax Number
906-226-2661
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
State
Zip
49855-2675
Phone Number
906-225-3902
Fax Number
906-226-2661
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
License No.
5301006679 (Michigan)
Definition
Definition to come...
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