Family Fare Pharmacy 339

LBN: Family Fare, Llc
Family Fare Pharmacy 339 is an health care organization with primary practice located at 2755 Lake Michigan Dr Nw , Grand Rapids MI 49504-5872. 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) 791-4777, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
2755 Lake Michigan Dr Nw Grand Rapids MI 49504-5872
Phone: (616) 791-4777
Fax: (616) 791-8110
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007082 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679673909
LBN Legal business name Family Fare, Llc
DBA Doing business as Family Fare Pharmacy 339
Authorized official Ellis, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 7th, 2023 - about last year

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 1679673909 NPPES
Other 2345456 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 4147323 OTHER ID NUMBER-COMMERCIAL NUMBER

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