Organization
FAIRVIEW HEALTH SVC
Active
Other names
FAIRVIEW HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEACHER (PRESIDENT)
(612) 672-7047
Entity
Organization
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7235
(651) 982-7236
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7235
(651) 982-7236
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
261510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048300
PK
—
Enumeration date
04/23/2008
Last updated
06/03/2020
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