| NPI | 1922862424 |
|---|---|
| Doing Business As | PENINSULA PHARMACY PLUS |
| Entity Type | Organization |
| Authorized Contact | TYLER J JENEMA Member 906-225-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-16 |