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PREVOS FAMILY MARKETS INC NPI 1205995206


NPI Information

NPI: 1205995206
Provider Name: PREVOS FAMILY MARKETS, INC

Doing Business As: D AND W PHARMACY #1576

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2181 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 451-3404
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PREVOS FAMILY MARKETS, INC is a community/retail pharmacy pharmacy in Grand Rapids, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PREVOS FAMILY MARKETS, INC NPI is 1205995206. The provider is registered as an organization entity type.
The provider Is Doing Business As D And W Pharmacy #1576.

The provider's business location address is:

2181 WEALTHY ST SE
GRAND RAPIDS, MI
ZIP 49506-033
Phone: (616) 451-3404
Fax: (616) 451-3980

The provider's authorized official is Amy Ellis .
The authorized official title is Director Of Pharmacy and has the following contact phone number (616) 878-2848.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301008210MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12369026OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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