Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW HOME INFUSION RETAIL
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 600, SHOREVIEW, MN 55126-2906
(612) 672-2233
(612) 672-2234
Mailing address
NW 7849, PO BOX 1450, MINNEAPOLIS, MN 55485-7849
(612) 617-3812
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
262531
MN
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508890450
—
MN
01
—
2048086
PK
—
05
—
832071300
—
MN
Enumeration date
07/10/2006
Last updated
10/07/2025
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