Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Specialty Services Pharmacy 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
3650 VICTORIA ST N, STE 300, SHOREVIEW, MN 55126-2906
(612) 672-5260
(612) 672-5330
Mailing address
PO BOX 1450 NW7429, MINNEAPOLIS, MN 55414
(612) 672-5302
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2625425
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514179601
—
MN
Enumeration date
06/12/2007
Last updated
01/05/2026
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