Organization
ERICKSONS DIVERSIFIED LLC
Active
Other names
ECONOFOODS PHARMACY, FAMILY FARE PHARMACY 3328
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
623 MAIN ST, RED WING, MN 55066-2249
(651) 388-3589
(651) 385-9394
Mailing address
1527 MOMENTUM PL, CHICAGO, IL 60689-5315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2004716
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331758700
—
MN
Enumeration date
01/08/2007
Last updated
01/22/2026
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