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FAMILY FARE LLC NPI 1497855720


NPI Information

NPI: 1497855720
Provider Name: FAMILY FARE, LLC

Doing Business As: FAMILY FARE PHARMACY 1513

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 23D2084438

Address:
784 S CEDAR ST
KALKASKA, MI
ZIP 49646
Phone: (231) 258-8681
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FAMILY FARE, LLC is a pharmacy in Kalkaska, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FAMILY FARE, LLC NPI is 1497855720. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Fare Pharmacy 1513.

The provider's business location address is:

784 S CEDAR ST
KALKASKA, MI
ZIP 49646-460
Phone: (231) 258-8681
Fax: (231) 258-4464

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 CLIA number assigned to this NPI record is 23D2084438 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 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 PharmacyNo
2333600000XPharmacy5301006968MICHIGANYes

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
11497855720OTHERMICHIGANNPI
24084770OTHERMICHIGANMI-DME
32342979OTHERMICHIGANNCPDP

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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