Organization
PREVO'S FAMILY MARKETS, INC
Active
Other names
FAMILY FARE PHARMACY 641
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
4122 US31 SOUTH, TRAVERSE CITY, MI 49684-9228
(231) 943-4017
(231) 943-3586
Mailing address
1527 MOMENTUM PL, SPARTAN PHARMACY NORTH, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007334
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354316
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3151107
—
MI
Enumeration date
09/25/2006
Last updated
04/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us