Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Eden Prairie 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
830 PRAIRIE CENTER DR, EDEN PRAIRIE, MN 55344-7301
(952) 826-6500
(952) 946-0925
Mailing address
PO BOX 1450 NW7685, MINNEAPOLIS, MN 55485-7685
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226074300
—
MN
Enumeration date
01/08/2009
Last updated
03/12/2025
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