Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW UNIVERSITY CLINIC 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
909 FULTON ST SE FL 1, MAIL CODE 2121AA, MINNEAPOLIS, MN 55455-4800
(612) 676-4100
(612) 676-4131
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262549
MN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115103700
—
MN
05
—
1619909694
—
MN
01
—
2045640
PK
—
Enumeration date
07/07/2006
Last updated
03/12/2025
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