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Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Specialty Services Pharmacy 340B
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
3650 VICTORIA ST N, STE 300, SHOREVIEW, MN 55126-2906
(612) 672-5260
(612) 672-5330
Mailing address
PO BOX 1450 NW7429, MINNEAPOLIS, MN 55414
(612) 672-5302
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2625425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514179601
—
MN
Enumeration date
06/12/2007
Last updated
01/05/2026
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