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NPI 1679618474

OrganizationActive

Peninsula Pharmacy Inc

NPI 1679618474 · Home Infusion Agency · Marquette, MI

Provider details

NPI number: 1679618474
Entity type: Organization
Primary specialty: Home Infusion AgencyAgencies
Authorized official: Kent Jenema, Director of Pharmacy Operations
License: 5301006679 (MI)

Practice location

1414 W Fair Ave

Suite 133

Marquette, MI 49855-2675

Phone: (906) 225-3902

Fax: (906) 226-2661

More MI providers

Mailing address

1414 W Fair Ave

Marquette, MI 49855-2675

Registry dates

Enumerated: 2007-02-20
Last updated: 2022-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Peninsula Pharmacy Inc — NPI 1679618474, Marquette, MI | NPI Central