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

Pennock Pharmacy

Organization Community/Retail Pharmacy · NPI 1538426093

Pennock Pharmacy is a Community/Retail Pharmacy in Wayland, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone: (269) 945-8050
Fax: (269) 945-8048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301009800 (MI)

Record details

NPI number1538426093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Risner — Certified Pharmacy Technician · (269) 945-1212
Other names Pennock Pharmacy - Gun Lake
NPI enumeratedApril 20, 2012
Last updated in NPPESOctober 13, 2015
Mailing address12851 W M 179 Hwy, Wayland, MI 49348-9318