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 SUITE 1C001, MAPLE GROVE, MN 55369
(763) 898-1810
Mailing address
PO BOX 1450 NW5823, MINNEAPOLIS, MN 55485
(763) 898-1810
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
APPLIED
MN
Other
Enumeration date
06/07/2007
Last updated
03/12/2025
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