Organization
FAIRVIEW HEALTH SERVCIES
Active
Other names
FAIRVIEW RIDGES HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BEACHER (PRESIDENT)
(612) 672-7047
Entity
Organization
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2130
(952) 892-2176
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
(612) 672-5139
(612) 672-6545
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2601135
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046167
PK
—
05
—
209550500
—
MN
Enumeration date
10/25/2006
Last updated
03/29/2023
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