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Contact Information

FAIRVIEW PHARMACY SERVICES LLC
3650 VICTORIA ST N
STE 600
SHOREVIEW, MN55126-2906
 Phone: 612-672-2233
 Fax: 612-672-2234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRVIEW PHARMACY SERVICES LLC

NPI Number 1508890450
LBN Legal business name FAIRVIEW PHARMACY SERVICES LLC
Authorized official SAMEER BADLANI - (CHAIRMAN OF THE BOARD)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 10/07/2025 - About 8 months ago
Identifiers
MN License # 262531
MN Medicaid 1508890450
MN Medicaid 832071300
Other 2048086 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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