Prevos Family Markets, Inc

NPI 1023177029 - Pharmacy - 3336C0003X

NPI Details
NPI 1023177029
Enumeration Date 12/06/2006
Last Updated 04/07/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY JEFFREY
Position PHARMACY SERVICES ADMINISTRATOR
Phone (616) 538-1490
Fax (616) 538-8855
Practice Location
2900 BURLINGAME AVE SW
WYOMING MI, 49509-2610, US
Phone (616) 538-1490
Fax (616) 538-8855
Business Location
1527 MOMENTUM PL
SPARTAN PHARMACY NORTH
CHICAGO IL, 60689-5315, US
Phone (616) 878-8584
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Michigan
License Number 5301008215
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According to our database, Prevos Family Markets, Inc NPI is 1023177029, taxonomy code is 3336C0003X and license number is 5301008215, license state is located at Michigan. Prevos Family Markets, Inc physically located at 2900 Burlingame Ave Sw, Wyoming MI, 49509-2610. NPI Number 1033115704 has the healthcare provider type.

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1023177029 NPI number is provided on an as is basis without warranty of any kind. 1023177029 is maintained by the National Plan & Provider Enumeration System. The contents of Prevos Family Markets, Inc are for informational purposes only.