Family Fare Pharmacy 648
LBN: Prevos Family Markets, Inc
Family Fare Pharmacy 648 is an health care organization with primary practice located at 602 Mitchell , Cadillac MI 49601-2510. 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) 775-6383, or through Ellis, Amy via phone (616) 878-2848.
Contact Information
Primary practice address
602 Mitchell
Cadillac MI 49601-2510
Phone: (231) 775-6383
Fax: (231) 775-1280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301007900 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301007900 | Michigan |
Profile Details
| NPI number | 1477653707 |
|---|---|
| LBN Legal business name | Prevos Family Markets, Inc |
| DBA Doing business as | Family Fare Pharmacy 648 |
| Authorized official | Ellis, Amy RPH |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477653707 | NPPES |
| Michigan | Other | 4821915 | MI-DME |
| Michigan | Other | 1477653707 | MI-DME |
| Michigan | Other | 2365939 | MI-DME |
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