Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Bethesda Family Medicine Clinic MTM
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
(651) 223-7337
Mailing address
711 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
(612) 672-5128
(612) 672-7320
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
03/12/2025
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