Organization
ERICKSONS DIVERSIFIED LLC
Active
Other names
FAMILY FARE PHARMACY 3335
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
951 E FRONTAGE RD, LITCHFIELD, MN 55355-2613
(320) 693-3261
(320) 593-3264
Mailing address
1527 MOMENTUM PL, CHICAGO, IL 60689-5315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2611413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
666717100
—
MN
Enumeration date
01/05/2007
Last updated
01/22/2026
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