Organization
PREVOS FAMILY MARKETS LLC
Active
Organization
PREVOS FAMILY MARKETS LLC
Active
Other names
D&W PHARMACY 1903, D AND W PHARMACY 1903
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
151 W GRAND RIVER AVE, WILLIAMSTON, MI 48895-1317
(517) 655-1372
(517) 655-1957
Mailing address
SPARTAN PHARMACY NORTH, 1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
(616) 878-8850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043699
PK
—
Enumeration date
04/24/2008
Last updated
08/06/2026
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