Peninsula Advanced Care Pharmacy Llc

LBN: Peninsula Advanced Care Pharmacy Llc
Peninsula Advanced Care Pharmacy Llc is an health care organization with primary practice located at 850 W Baraga Avenue 1St Floor, Room 1178, Marquette MI 49855. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Peninsula Advanced Care Pharmacy Llc can be contacted via phone (906) 225-3902, or through Jenema, Tyler J via phone (906) 869-0999.

Contact Information

Primary practice address
850 W Baraga Avenue 1St Floor, Room 1178 Marquette MI 49855
Phone: (906) 225-3902
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenema, Tyler J PHARM.D.
Phone: (906) 869-0999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1972370013
LBN Legal business name Peninsula Advanced Care Pharmacy Llc
DBA Doing business as
Authorized official Jenema, Tyler J PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2023
Last updated Dec 8th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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