Family Fare Pharmacy 122

LBN: Family Fare, Llc
Family Fare Pharmacy 122 is an health care organization with primary practice located at 993 Butternut Dr , Holland MI 49424-1552. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Family Fare, Llc can be contacted via phone (616) 399-4100, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
993 Butternut Dr Holland MI 49424-1552
Phone: (616) 399-4100
Fax: (616) 399-9645
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007369 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013017342
LBN Legal business name Family Fare, Llc
DBA Doing business as Family Fare Pharmacy 122
Authorized official Ellis, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013017342 NPPES
Michigan Other 2364381 NCPDP
Michigan Other 1013017342 NCPDP
Michigan Other 4822037 NCPDP

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