| NPI | 1013017342 |
|---|---|
| Doing Business As | FAMILY FARE PHARMACY 122 |
| Entity Type | Organization |
| Authorized Contact | AMY ELLIS Director Of Pharmacy 616-878-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301007369) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-12-07 |