Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
FAMILY FARE PHARMACY #1572
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
201 MARCELL DR NE, ROCKFORD, MI 49341-1364
(616) 863-9376
(616) 863-9402
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-9594
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008231
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368985
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/06/2006
Last updated
04/21/2026
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