Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
FAMILY FARE PHARMACY, FAMILY FARE PHARMACY 1580
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (PHARMACY SERVICES ADMINISTRATOR)
(616) 878-2848
Entity
Organization
Contact information
Practice address
2900 BURLINGAME AVE SW, WYOMING, MI 49509-2610
(616) 538-1490
(616) 538-8855
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008215
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369040
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/06/2006
Last updated
04/21/2026
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