Organization
FAMILY FARE, LLC
Active
Other names
FAMILY FARE PHARMACY 1587
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
1415 FULTON ST E, GRAND RAPIDS, MI 49503-3853
(616) 774-9422
(616) 774-9380
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
5301008229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369064
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/06/2006
Last updated
12/07/2023
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