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General NPI Number Information
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NPI Number | 1942117478
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Entity Type | Organization
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Legal Business Name | FAIRVIEW PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 6097 QUINWOOD LANE N
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City | PLYMOUTH
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State | MN
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Zip | 55442
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Country | US
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Telephone | 763-268-0400
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Fax | 763-268-0405
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Provider Business Mailing Address
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Address Line | 1700 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-3727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | SAMEER BADLANI
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Credential |
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Telephone | 612-617-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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