Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview New Brighton 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
2847 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3055
(612) 789-7277
(612) 706-4591
Mailing address
PO BOX 1450 NW7429, ATTN CONTRACTING, MINNEAPOLIS, MN 55485
(612) 672-5174
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198404700
—
MN
Enumeration date
02/21/2007
Last updated
03/12/2025
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