Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Highland Park Clinic MTM, Fairview Highland Park Pharmacy 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
2270 FORD PKWY, STE 200, SAINT PAUL, MN 55116-3412
(651) 696-5000
(651) 696-5001
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(651) 696-5000
(651) 696-5001
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625302
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206905900
—
MN
Enumeration date
02/21/2007
Last updated
07/30/2026
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