Family Fare Pharmacy #1990

LBN: Prevos Family Markets, Inc
Family Fare Pharmacy #1990 is an health care organization with primary practice located at 902 W State St , Hastings MI 49058-1661. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Prevos Family Markets, Inc can be contacted via phone (269) 945-2466, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
902 W State St Hastings MI 49058-1661
Phone: (269) 945-2466
Fax: (269) 945-2991
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 5301008628 Michigan

Profile Details

NPI number 1194936682
LBN Legal business name Prevos Family Markets, Inc
DBA Doing business as Family Fare Pharmacy #1990
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194936682 NPPES
Michigan Other 5192323 MI-DME
Michigan Other 1194936682 MI-DME
Michigan Other 2369723 MI-DME

Popular Providers