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Organization
FAIRVIEW HEALTH SERVCIES
Active
Organization
FAIRVIEW HEALTH SERVCIES
Active
Other names
FAIRVIEW SOUTHDALE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEACHER (PRESIDENT)
(612) 672-7047
Entity
Organization
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5160
(612) 924-1304
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
(612) 672-5139
(612) 672-6545
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
261547
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045269
PK
—
05
—
557045000
—
MN
Enumeration date
10/25/2006
Last updated
04/30/2024
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