Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Entira Family Clinic MTM- Highland
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
1540 RANDOLPH AVE, SAINT PAUL, MN 55105-2535
(651) 699-8333
(651) 699-9257
Mailing address
711 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
03/12/2025
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