Organization
FAMILY FARE, LLC
Active
Organization
FAMILY FARE, LLC
Active
Other names
Family Fare Pharmacy #1992
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
1406 N EATON ST, ALBION, MI 49224-9470
(517) 629-2286
(517) 629-6122
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
5301008623
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043421548
NPI
MI
01
—
2369759
NCPDP
MI
01
—
5192270
MI-DME
MI
Enumeration date
05/25/2007
Last updated
12/07/2023
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