Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
FAMILY FARE PHARMACY 648
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
602 MITCHELL, CADILLAC, MI 49601-2510
(231) 775-6383
(231) 775-1280
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301007900
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301007900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477653707
NPI
MI
01
—
2365939
NCPDP
MI
01
—
4821915
MI-DME
MI
Enumeration date
09/25/2006
Last updated
04/21/2026
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