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Fairview Pharmacy Services LLC — NPI 1154035939, Shoreview, MN | NPI Central

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NPI 1154035939

OrganizationActive

Fairview Pharmacy Services LLC

NPI 1154035939 · Non-Pharmacy Dispensing Site · Shoreview, MN

Provider details

NPI number: 1154035939
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Sameer Badlani, Chairman of the Board(612) 617-3799

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

404 Highway 96 W

Shoreview, MN 55126-1901

Phone: (651) 483-8283

Fax: (651) 483-8299

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 7412164

Chicago, IL 60674-2164

Other names (DBA / former)

Doing business as: Entira Family Clinic Mtm-Shoreview
Doing business as: Fairview Shoreview Clinic Mtm Entira

Registry dates

Enumerated: 2023-01-06
Last updated: 2026-06-01
Certified: 2026-06-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.