Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Entira Family Clinic MTM- Hugo, Fairview Hugo Clinic MTM Entira
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) 429-3402
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(651) 426-6402
(651) 429-3402
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
07/30/2026
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