Peninsula Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Peninsula Pharmacy Inc is a Community/Retail Pharmacy in Marquette, Michigan. It is located at 1414 W Fair Ave, Suite 133, Marquette and it's customer support contact number is 906-225-3902. The authorized person of Peninsula Pharmacy Inc is Mr. Praveen Challa, R.PH. who is President of the pharmacy and his contact number is 906-225-3902. Active license number of Peninsula Pharmacy Inc is 5301010345 for Community/Retail Pharmacy in Michigan. Peninsula Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Peninsula Pharmacy Inc is 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.
Pharmacy Details:
Peninsula Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Peninsula Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
1414 W Fair Ave, Suite 133, Marquette, Michigan, 49855-2675
Phone:
906-225-3902
Fax:
906-226-2661
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Praveen Challa
Credentials:
R.PH.
Position:
President
Contact Number:
906-225-3902
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1003807413
NPI Enumeration Date:
03 Nov, 2005
NPI Last Update On:
18 Dec, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peninsula Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
5301010345
Michigan
Primary
Pharmacist
5301010345
Michigan
Secondary
Durable Medical Equipment & Medical Supplies
1199700001
Michigan
Secondary
Parenteral & Enteral Nutrition
1003807413
Michigan
Secondary
Home Infusion Therapy Pharmacy
5301010345
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3409001
Medicaid
Michigan
1003807413
Other
Michigan
Bcbs - Michigan
2357362
Other
Michigan
Ncpdp
Medicare Enrollment:
Peninsula Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6709907553
O20100930091074
Peninsula Pharmacy Inc
DME SUPPLIER - PHARMACY
Products Available:
Peninsula Pharmacy Inc has following products available for sale under medicare.
Products
Prosthetic Lenses: Conventional Eyeglasses
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1414 W Fair Ave, Suite 133 Marquette, Michigan
Zip:
49855-2675
Phone Number:
906-225-3902
Fax Number:
906-226-2661
Patients can reach Peninsula Pharmacy Inc at 1414 W Fair Ave, Suite 133, Marquette, Michigan or can call on customer care at 906-225-3902.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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