Organization
FAMILY FARE LLC
Active
Organization
FAMILY FARE LLC
Active
Other names
FAMILY FARE - FOREST HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
4668 CASCADE RD SE, GRAND RAPIDS, MI 49546-3718
(616) 949-0170
(616) 949-4073
Mailing address
1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301009024
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301009024
MI
Other
Enumeration date
11/19/2012
Last updated
12/07/2023
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