Organization
FAMILY FARE, LLC
Active
Organization
FAMILY FARE, LLC
Active
Other names
FAMILY FARE PHARMACY 123
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
1185 WASHINGTON AVE, HOLLAND, MI 49423-7729
(616) 392-7504
(616) 392-8021
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006944
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354277
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4075494
—
MI
Enumeration date
09/25/2006
Last updated
12/07/2023
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