Organization
ERICKSONS DIVERSIFIED LLC
Active
Other names
ECONOFOODS PHARMACY, FAMILY FARE PHARMACY 3330
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
603 DIVISION ST S, NORTHFIELD, MN 55057-2426
(507) 645-4489
(507) 663-1006
Mailing address
1527 MOMENTUM PL, CHICAGO, IL 60689-5315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951060500
—
MN
Enumeration date
01/05/2007
Last updated
10/29/2025
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