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Contact Information

FAIRVIEW PHARMACY SERVICES LLC
424 HARVARD STREET SE SUITE 300
MINNEAPOLIS, MN55455
 Phone: 612-626-6429
 Fax: 612-626-6208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FAIRVIEW PHARMACY SERVICES LLC

NPI # 1609902659
LBN Legal business name FAIRVIEW PHARMACY SERVICES LLC
Authorized official SAMEER BADLANI - (CHAIRMAN OF THE BOARD)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 03/12/2025 - More than a year ago
Identifiers
MN License # 262967
MN Medicaid 623133001
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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