Organization
FAIRVIEW PHARMACY SERVICES, LLC
Active
Other names
HEALTHEAST PAIN 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
1600 SAINT JOHNS BLVD STE 101, MAPLEWOOD, MN 55109-1190
(651) 232-5354
(612) 672-7320
Mailing address
PO BOX 9372, MINNEAPOLIS, MN 55440-9372
(651) 232-5354
(612) 672-7320
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
03/12/2025
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