Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Eagan 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
3305 CENTRAL PARK VILLAGE DR, STE 200, EAGAN, MN 55121-7707
(651) 406-8962
(651) 406-8870
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(651) 406-8962
(651) 406-8870
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625276
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373684900
—
MN
Enumeration date
02/21/2007
Last updated
07/30/2026
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