Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW COMPOUNDING 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 500, SHOREVIEW, MN 55126-2906
(612) 672-5737
(612) 672-5738
Mailing address
NW 7429, PO BOX 1450, MINNEAPOLIS, MN 55485-7429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
262526
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048483
PK
—
Enumeration date
04/09/2008
Last updated
10/10/2025
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