Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
D & W PHARMACY 1577
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
9375 CHERRY VALLEY AVE SE, CALEDONIA, MI 49316-9506
(616) 891-7898
(616) 891-8097
Mailing address
SPARTAN PHARMACY NORTH, 1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042552
PK
—
Enumeration date
01/03/2007
Last updated
04/21/2026
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