Fairview Health SVC

Organization Active NPI Institutional Pharmacy · Wyoming, MN

NPI 1235304130 · NPPES record last updated Jun 26, 2026

Key facts

NPI
1235304130
Entity type
Organization (NPI type 2)
Primary specialty
Institutional Pharmacy 3336I0012X
License
261510 (MN)
Legal business name
FAIRVIEW HEALTH SVC
Practice address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone
(651) 982-7235
Fax
(651) 982-7236
NPI assigned
Apr 23, 2008
Organization subpart
No

Authorized official

Name
Robert Beacher
Title
President
Phone
(612) 672-7047

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Mesaba Clinic (69 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 261510 MN Yes

Addresses

Primary practice location

5200 Fairview Blvd
Wyoming, MN 55092-8013

Mailing address

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7235

Other identifiers

IdentifierTypeStateIssuer
2048300OtherPK

Other names

  • FAIRVIEW HEALTH SERVICES PHARMACY Doing business as
  • Fairview Lakes Hospital Pharmacy Doing business as

Other providers in Wyoming, MN

All providers in Wyoming, MN · Institutional Pharmacy in Minnesota

Sources for this page

Verify at the official NPI Registry.