Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peninsula Pharmacy Inc

Organization Pharmacist · NPI 1003807413

Peninsula Pharmacy Inc is a Pharmacist in Marquette, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 W Fair Ave Ste 133
Marquette, MI 49855-2675
Phone: (906) 225-3902
Fax: (906) 226-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301010345 (MI)
Pharmacist Taxonomy 183500000X · Licence 5301010345 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 1199700001 (MI)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence 1003807413 (MI)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X · Licence 5301010345 (MI)

Record details

NPI number1003807413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Challa — President · (906) 225-3902
Other names Peninsula Pharmacy; Peninsula Pharmacy
NPI enumeratedNovember 3, 2005
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address1414 W Fair Ave, Suite 133, Marquette, MI 49855-2675

Other providers in Marquette