Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW UPTOWN CLINIC MTM
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FASCHING (CFO)
(612) 617-3799
Entity
Organization
Contact information
Practice address
3033 EXCELSIOR BLVD, SUITE 275, MINNEAPOLIS, MN 55416
(612) 827-4751
(612) 827-7768
Mailing address
PO BOX 1450 NW 5823, MINNEAPOLIS, MN 55485-5823
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
MN
Other
Enumeration date
02/24/2009
Last updated
04/13/2023
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