Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Crosstown 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
6545 FRANCE AVE SOUTH SUITE 100, EDINA, MN 55435
(952) 924-1499
(952) 924-1350
Mailing address
PO BOX 1450 NW7429, MINNEAPOLIS, MN 55485-7429
(612) 672-5174
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625399
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741199500
—
MN
Enumeration date
02/22/2007
Last updated
03/12/2025
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