Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Apple Valley 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
15650 CEDAR AVE, APPLE VALLEY, MN 55124
(952) 997-4100
(952) 997-4188
Mailing address
PO BOX 1450 NW5823, MINNEAPOLIS, MN 55485
(612) 672-7008
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625247
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
984645000
—
MN
Enumeration date
12/24/2007
Last updated
03/12/2025
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