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Fairview Pharmacy Services LLC

Organization Active NPI Pharmacy · Minneapolis, MN

NPI 1104956929 · NPPES record last updated Mar 12, 2025

Key facts

NPI
1104956929
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
2625441 (MN)
Legal business name
FAIRVIEW PHARMACY SERVICES LLC
Practice address
500 Harvard Street SE Suite 3-017
Minneapolis, MN 55455
Phone
(612) 273-2121
Fax
(612) 273-8156
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Sameer Badlani
Title
Chairman of the Board
Phone
(612) 617-3799

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Fairview Pharmacy SRV LLC (68 organizations share this tax ID)

Locations

500 Harvard St SE
Ste 3017
Minneapolis, MN 55455
Phone (612) 273-2121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2625441 MN Yes

Addresses

Primary practice location

500 Harvard Street SE Suite 3-017
Minneapolis, MN 55455

Mailing address

PO Box 1450 NW 7429
Minneapolis, MN 55485-7429
Phone (612) 672-5300

Other identifiers

IdentifierTypeStateIssuer
335408301MedicaidMN

Other names

  • Fairview University Discharge Pharmacy 340B Doing business as

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Pharmacy in Minnesota

Sources for this page

Verify at the official NPI Registry.