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PENINSULA ADVANCED CARE PHARMACY LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

PENINSULA ADVANCED CARE PHARMACY LLC
850 W BARAGA AVENUE
1ST FLOOR, ROOM 1178
MARQUETTE, MI  49855
 Phone: 906-225-3902
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PENINSULA ADVANCED CARE PHARMACY LLC

NPI # 1972370013
LBN Legal business name PENINSULA ADVANCED CARE PHARMACY LLC
Authorized official TYLER JENEMA - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2023
Last updated 12/08/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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