Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Mail Order 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
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
262542
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427080415
—
MN
01
—
2143646
PK
—
Enumeration date
11/20/2012
Last updated
01/05/2026
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