Family Fare Pharmacy 254

LBN: Family Fare, Llc
Family Fare Pharmacy 254 is an health care organization with primary practice located at 1225 Leonard St Ne , Grand Rapids MI 49505-5510. 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) 459-6203, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
1225 Leonard St Ne Grand Rapids MI 49505-5510
Phone: (616) 459-6203
Fax: (616) 454-8777
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301006943 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1114027448
LBN Legal business name Family Fare, Llc
DBA Doing business as Family Fare Pharmacy 254
Authorized official Ellis, Amy RPH
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 1114027448 NPPES
Michigan Other 1114027448 NPI
Michigan Other 2353340 NPI
Michigan Other 4075485 NPI

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