Organization
FAMILY FARE, LLC
Active
Other names
FAMILY FARE PHARMACY 239
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
6480 28TH AVE, HUDSONVILLE, MI 49426-8800
(616) 669-8518
(616) 669-4869
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301006942
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355534
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4075458
—
MI
Enumeration date
09/26/2006
Last updated
12/07/2023
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