Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
UMMC Dept Pharm Services 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
500 HARVARD ST SE RM 1-550, MINNEAPOLIS, MN 55455-0363
(612) 273-3200
(612) 273-4954
Mailing address
500 HARVARD ST SE RM 1-550, MINNEAPOLIS, MN 55455-0363
(612) 273-3200
(612) 273-4954
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2614119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611977800
—
MN
Enumeration date
02/21/2007
Last updated
12/04/2025
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