Organization
PREVOS FAMILY MARKETS LLC
Active
Organization
PREVOS FAMILY MARKETS LLC
Active
Other names
Family Fare Pharmacy #647
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
1057 US HIGHWAY 31 S, MANISTEE, MI 49660-2270
(231) 398-3202
(231) 398-3246
Mailing address
SPARTAN PHARMACY NORTH, 1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120728
PK
—
Enumeration date
05/21/2009
Last updated
08/06/2026
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