MEDICARE: PINNY PHARMACY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598715187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNY PHARMACY, INC.

Provider Business Mailing Address
First Line	:	533 S MAIN ST
Second Line	:	PO BOX 579
City	:	STANDISH
State	:	MI
Zip	:	48658-9531
Country	:	US
Telephone Number	:	989-846-0411
Fax Number	:	989-846-0463

Provider Business Practice Location Address
First Line	:	533 S MAIN ST
Second Line	:
City	:	STANDISH
State	:	MI
Zip	:	48658-9531
Country	:	US
Telephone Number	:	989-846-0411
Fax Number	:	989-846-0463

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERESA JEAN SPIES
Credential	:
Telephone Number	:	989-876-8899

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/05/2025

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Directions to “PINNY PHARMACY, INC. ” Practice Location

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