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Organization

FAIRVIEW HEALTH SERVCIES

Active
Other names
UMMC DEPARTMENT OF PHARMACEUTICAL SERVCIES
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BEACHER (PRESIDENT)
(612) 672-7047
Entity
Organization

Contact information

Practice address
500 HARVARD ST SE RM 1550, MINNEAPOLIS, MN 55455-0363
(612) 273-3200
(612) 273-4954
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
(612) 672-5139
(612) 672-6545

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2048469
PK
01
2614119
PHARMACY LICENSE
MN
05
437976400
MN
Enumeration date
10/25/2006
Last updated
12/13/2024
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