Organization
FAMILY FARE, LLC
Active
Other names
D&W Pharmacy #1591
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
2022 APPLE ORCHARD DR NE, GRAND RAPIDS, MI 49525-9785
(616) 361-3676
(866) 394-0043
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373633
NCPDP
MI
Enumeration date
02/10/2010
Last updated
12/07/2023
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