1003807413 PENINSULA PHARMACY INC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
PENINSULA PHARMACY INC
Enumeration Date
November 3, 2005
Last Update
December 18, 2024
Authorized Official
MR. PRAVEEN CHALLA R.PH.
PRESIDENT
Phone: (906) 225-3902

Practice Location

Address
1414 W FAIR AVE
SUITE 133
MARQUETTE, MI 498552675
Phone
(906) 225-3902
Fax
(906) 226-2661

Mailing Address

Address
1414 W FAIR AVE
SUITE 133
MARQUETTE, MI 498552675
Phone
(906) 225-3902
Fax
(906) 226-2661

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacist
183500000X Pharmacist 5301010345 MI No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies 1199700001 MI No
Parenteral & Enteral Nutrition Supplies (DME)
Parenteral & Enteral Nutrition
332BP3500X Durable Medical Equipment & Medical Supplies 1003807413 MI No
Home Infusion Therapy Pharmacy
Home Infusion Therapy Pharmacy
3336H0001X Pharmacy 5301010345 MI No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 5301010345 MI Primary

Other Identifiers

Identifier Type State Issuer
3409001 05 MI N/A
1003807413 01 MI BCBS - MICHIGAN
2357362 01 MI NCPDP

Frequently Asked Questions

What is PENINSULA PHARMACY INC's NPI number?
PENINSULA PHARMACY INC's NPI number is 1003807413.
Which doctor has NPI number 1003807413?
The doctor with NPI number 1003807413 is PENINSULA PHARMACY INC.
What is PENINSULA PHARMACY INC's practice address?
PENINSULA PHARMACY INC's practice address is 1414 W FAIR AVE, SUITE 133, MARQUETTE, MI, 498552675.
Which doctor practices at 1414 W FAIR AVE, SUITE 133, MARQUETTE, MI, 498552675?
PENINSULA PHARMACY INC practices at 1414 W FAIR AVE, SUITE 133, MARQUETTE, MI, 498552675.
What is PENINSULA PHARMACY INC's phone number?
PENINSULA PHARMACY INC's phone number is (906) 225-3902.
Who is (906) 225-3902?
(906) 225-3902 is the phone number for PENINSULA PHARMACY INC.
What is PENINSULA PHARMACY INC's specialty?
PENINSULA PHARMACY INC's specialty is Community/Retail Pharmacy.
What type of doctor is PENINSULA PHARMACY INC?
PENINSULA PHARMACY INC is a Community/Retail Pharmacy.
Is PENINSULA PHARMACY INC a Community/Retail Pharmacy?
Yes, PENINSULA PHARMACY INC is a Community/Retail Pharmacy.
Is PENINSULA PHARMACY INC still practicing?
Yes, PENINSULA PHARMACY INC is currently practicing.
Is PENINSULA PHARMACY INC accepting new patients?
PENINSULA PHARMACY INC may be accepting new patients. Please call their office at (906) 225-3902 to inquire about availability.
Is NPI 1003807413 still active?
Yes, NPI 1003807413 is currently active.
Where does PENINSULA PHARMACY INC practice?
PENINSULA PHARMACY INC practices in MARQUETTE, MI.