Organization
PREVOS FAMILY MARKETS LLC
Active
Organization
PREVOS FAMILY MARKETS LLC
Active
Other names
D AND W PHARMACY 1574
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2761
Entity
Organization
Contact information
Practice address
50 DOUGLAS AVE, HOLLAND, MI 49424-2198
(616) 392-9735
(616) 392-4997
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
5301008235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369002
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/06/2006
Last updated
08/06/2026
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