Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Maple Grove 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
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
(763) 898-1801
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(763) 898-1000
(763) 898-1801
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
APPLIED
MN
Other
Enumeration date
06/07/2007
Last updated
07/30/2026
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