Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
FAIRVIEW UNIVERSITY ONCOLOGY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
424 HARVARD ST SE, MINNEAPOLIS, MN 55455-0362
(612) 625-4900
(612) 625-4910
Mailing address
PO BOX 1450 NW 7429, MINNEAPOLIS, MN 55485-7429
(612) 672-5138
(612) 672-6659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2625467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952335804
—
MN
01
—
2424947
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
632679000
—
MN
Enumeration date
07/10/2006
Last updated
03/12/2025
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