Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW SPECIALTY SERVICES PHARMACY
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) 672-5262
Mailing address
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262542
MN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427080415
—
MN
01
—
2048085
PK
—
05
—
514179600
—
MN
Enumeration date
07/07/2006
Last updated
01/05/2026
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