Family Fare Pharmacy #1579

LBN: Prevos Family Markets, Inc
Family Fare Pharmacy #1579 is an health care organization with primary practice located at 3960 44Th St Sw , Grandville MI 49418-2420. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prevos Family Markets, Inc can be contacted via phone (616) 534-9649, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
3960 44Th St Sw Grandville MI 49418-2420
Phone: (616) 534-9649
Fax: (616) 538-6730
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008526 Michigan

Profile Details

NPI number 1114086113
LBN Legal business name Prevos Family Markets, Inc
DBA Doing business as Family Fare Pharmacy #1579
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114086113 NPPES
Other 2369038 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers