Organization
PREVOS FAMILY MARKETS LLC
Active
Organization
PREVOS FAMILY MARKETS LLC
Active
Other names
Family Fare Pharmacy #1975
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2761
Entity
Organization
Contact information
Practice address
56151 M 51 S, DOWAGIAC, MI 49047-9762
(616) 782-9899
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
5301008626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740491224
NPI
MI
01
—
2369735
NCPDP
MI
01
—
5192341
MI MEDICAID-DME
MI
Enumeration date
05/25/2007
Last updated
08/06/2026
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