Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FARIVIEW PHARMACY MAPLE GROVE
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, 1A029, MAPLE GROVE, MN 55369-4730
(763) 898-1800
(763) 898-1801
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
(612) 672-5139
(612) 672-6545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124228176
—
MN
01
—
2049243
PK
—
Enumeration date
07/18/2007
Last updated
03/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us