Family Fare Pharmacy 641

LBN: Prevos Family Markets, Inc
Family Fare Pharmacy 641 is an health care organization with primary practice located at 4122 Us31 South , Traverse City MI 49684-9228. 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. Prevos Family Markets, Inc can be contacted via phone (231) 943-4017, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
4122 Us31 South Traverse City MI 49684-9228
Phone: (231) 943-4017
Fax: (231) 943-3586
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301007334 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932209269
LBN Legal business name Prevos Family Markets, Inc
DBA Doing business as Family Fare Pharmacy 641
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 1932209269 NPPES
Michigan MEDICAID 3151107
Michigan Other 2354316

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