| NPI | 1144646290 |
|---|---|
| Doing Business As | PENINSULA PHARMACY PLUS |
| Entity Type | Organization |
| Authorized Contact | TYLER J JENEMA President 906-225-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010508) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-02-17 |