Organization
FAMILY FARE LLC
Active
Other names
VG's Pharmacy #1925
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
710 S MILL ST, CLIO, MI 48420-1491
(810) 686-0004
(810) 564-3181
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
5301009034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118058
PK
—
Enumeration date
12/09/2008
Last updated
06/10/2024
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