Healthcare Provider Details

I. General information

NPI: 1598715187
Provider Name (Legal Business Name): PINNY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 S MAIN ST
STANDISH MI
48658-9531
US

IV. Provider business mailing address

533 S MAIN ST PO BOX 579
STANDISH MI
48658-9531
US

V. Phone/Fax

Practice location:
  • Phone: 989-846-0411
  • Fax: 989-846-0463
Mailing address:
  • Phone: 989-846-0411
  • Fax: 989-846-0463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TERESA JEAN SPIES
Title or Position: PRESIDENT
Credential:
Phone: 989-876-8899