Organization
FAMILY FARE, LLC
Active
Other names
FAMILY FARE PHARMACY 339
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
2755 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5872
(616) 791-4777
(616) 791-8110
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
5301007082
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2345456
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4147323
—
MI
Enumeration date
09/25/2006
Last updated
12/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us