| NPI | 1366943995 |
|---|---|
| Doing Business As | PENINSULA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TYLER J JENEMA Owner 906-225-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-11-16 |