Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
Family Fare Pharmacy #1990
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
902 W STATE ST, HASTINGS, MI 49058-1661
(269) 945-2466
(269) 945-2991
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
5301008628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194936682
NPI
MI
01
—
2369723
NCPDP
MI
01
—
5192323
MI-DME
MI
Enumeration date
05/25/2007
Last updated
04/21/2026
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