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NPI Code Detail

MEDICARE: FAIRVIEW PHARMACY SERVICES LLC

MEDICARE: FAIRVIEW PHARMACY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy2614119MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063557320
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRVIEW PHARMACY SERVICES LLC
Provider Business Mailing Address
First Line : 500 HARVARD ST SE RM 1-550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0363
Country : US
Telephone Number : 612-273-3200
Fax Number : 612-273-4954
Provider Business Practice Location Address
First Line : 500 HARVARD ST SE RM 1-550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55455-0363
Country : US
Telephone Number : 612-273-3200
Fax Number : 612-273-4954
Authorized Official
Title or Position : CHAIRMAN OF THE BOARD
Name : SAMEER BADLANI
Credential :
Telephone Number : 612-617-3799
Provider Enumeration Date : 02/21/2007
Last Update Date : 12/04/2025

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Directions to “FAIRVIEW PHARMACY SERVICES LLC ” Practice Location

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