Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW CENTENNIAL LAKES 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
7373 FRANCE AVE S STE 206, EDINA, MN 55435-4538
(952) 985-8160
(952) 985-8188
Mailing address
PO BOX 1450, MINNEAPOLIS, MN 55485-1450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
2625250
MN
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2419201
OTHER ID NUMBER
—
05
—
877905800
—
MN
Enumeration date
07/10/2006
Last updated
03/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us