Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Pharmacy Burnsville SCC 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
14101 FAIRVIEW DR, SUITE 100, BURNSVILLE, MN 55337-4590
(952) 405-5630
(952) 405-5631
Mailing address
14101 FAIRVIEW DR, SUITE 100, BURNSVILLE, MN 55337-4590
(952) 405-5630
(952) 405-5631
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851792469
—
MN
Enumeration date
11/10/2015
Last updated
03/11/2025
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