Organization · Type 2 NPI

Prevos Family Markets LLC

Community/Retail Pharmacy · Holland, MI

NPI number 1578622676 Active

Practice location

50 Douglas Ave
Holland, MI 49424-2198

Call (616) 392-9735 Map

Fax (616) 392-4997

Mailing address

1527 Momentum Pl, Spartan Pharmacy North
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301008235 (MI)

Community/Retail Pharmacy: 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 …

2 other providers at this address

Other community/retail pharmacy providers in Holland

See all in Holland →

NPI record

NPI: 1578622676
Entity type: Organization (Type 2)
Issued: Dec 6, 2006
Last updated: Aug 6, 2026
Status: Active

Other names

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D and W Pharmacy 1574 · doing business as
D and W Pharmacy 1574 · doing business as

Authorized official

Amy Ellis, RPH
Director of Pharmacy
(616) 878-2761

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578622676

Prevos Family Markets LLC's National Provider Identifier is 1578622676, issued on Dec 6, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Holland, MI. The record was last updated on Aug 6, 2026.