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FAMILY FARE LLC NPI 1043310378


NPI Information

NPI: 1043310378
Provider Name: FAMILY FARE, LLC

Doing Business As: FAMILY FARE PHARMACY 1507

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 23D2084506

Address:
617 N WILLIAMS ST
MANCELONA, MI
ZIP 49659
Phone: (231) 587-8491
Get Directions

FAMILY FARE, LLC is a pharmacy in Mancelona, 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 1043310378. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Fare Pharmacy 1507.

The provider's business location address is:

617 N WILLIAMS ST
MANCELONA, MI
ZIP 49659-766
Phone: (231) 587-8491
Fax: (231) 587-5259

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 23D2084506 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy5301007322MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14822028OTHERMICHIGANMI-DME
21043310378OTHERMICHIGANNPI
32311924OTHERMICHIGANNCPDP

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: 5/5/2024

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