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Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW CENTENNIAL LAKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S STE 206, EDINA, MN 55435-4538
(952) 985-8160
(952) 985-8188
Mailing address
PO BOX 1450, MINNEAPOLIS, MN 55485-1450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2625250
MN
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2419201
OTHER ID NUMBER
—
05
—
877905800
—
MN
Enumeration date
07/10/2006
Last updated
03/12/2025
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