Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW EDINA 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
6401 FRANCE AVE S STE SL-1, EDINA, MN 55435-2104
(952) 924-1400
(952) 924-1404
Mailing address
PO BOX 1450 NW 7429, MINNEAPOLIS, MN 55485-7429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262528
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528090503
—
MN
01
—
2046650
PK
—
05
—
358613800
—
MN
Enumeration date
07/07/2006
Last updated
07/30/2026
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