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Organization

FAIRVIEW PHARMACY SERVICES LLC

Active
Other names
Entira Family Clinic MTM- Hugo
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization

Contact information

Practice address
14688 EVERTON AVE N STE 101, HUGO, MN 55038-6072
(651) 426-6402
(651) 483-8299
Mailing address
14688 EVERTON AVE N STE 101, HUGO, MN 55038-6072

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
01/06/2023
Last updated
03/12/2025
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