<Unavail>

LBN: Family Fare, Llc
<Unavail> is an health care organization with primary practice located at 1965 Baldwin St , Jenison MI 49428-8915. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Family Fare, Llc can be contacted via phone (616) 457-9630, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
1965 Baldwin St Jenison MI 49428-8915
Phone: (616) 457-9630
Fax: (616) 457-1120
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008211 Michigan

Profile Details

NPI number 1669531661
LBN Legal business name Family Fare, Llc
DBA Doing business as <Unavail>
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669531661 NPPES
Other 2369088 OTHER ID NUMBER-COMMERCIAL NUMBER

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