Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
FAMILY FARE PHARMACY #1980
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
847 S KALAMAZOO ST, PAW PAW, MI 49079-9230
(269) 657-1778
(269) 657-1779
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
5301008631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033320528
NPI
MI
01
—
2369747
NCPDP
MI
01
—
5192332
MI-DME
MI
Enumeration date
05/25/2007
Last updated
04/21/2026
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