Family Fare Pharmacy #647

LBN: Prevos Family Markets, Inc.
Family Fare Pharmacy #647 is an health care organization with primary practice located at 1057 Us Highway 31 S , Manistee MI 49660-2270. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Prevos Family Markets, Inc. can be contacted via phone (231) 398-3202, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
1057 Us Highway 31 S Manistee MI 49660-2270
Phone: (231) 398-3202
Fax: (231) 398-3246
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009135 Michigan

Profile Details

NPI number 1245465111
LBN Legal business name Prevos Family Markets, Inc.
DBA Doing business as Family Fare Pharmacy #647
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2009
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 1245465111 NPPES
Other 2120728 PK

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