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Organization

FAIRVIEW PHARMACY SERVICES LLC

Active
Other names
Fairview North Branch Clinic MTM
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization

Contact information

Practice address
5366 386TH ST, NORTH BRANCH, MN 55056-5833
(651) 674-8353
Mailing address
PO BOX 1450 NW 5823, MINNEAPOLIS, MN 55485-5823
(651) 674-8353

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
04/10/2013
Last updated
03/12/2025
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