Organization
FAMILY FARE, LLC
Active
Other names
Family Fare Pharmacy #1904
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
45 COLUMBIA AVE E, BATTLE CREEK, MI 49015-3703
(269) 965-5631
(269) 965-3478
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
5301008624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932310505
NPI
MI
01
—
2369696
NCPDP
MI
01
—
5192234
MI-DME
MI
Enumeration date
05/25/2007
Last updated
12/07/2023
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