OrganizationActive
Fairview Pharmacy Services LLC
NPI 1457649667 · Non-Pharmacy Dispensing Site · Fridley, MN
Provider details
- NPI number
- 1457649667
- 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
Suppliers
Practice location
6341 University Ave Ne
Fl 1
Fridley, MN 55432-4946
Phone: (763) 586-5844
Fax: (763) 586-5888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412164
Chicago, IL 60674-2164
Other names (DBA / former)
- Doing business as
- Fairview Fridley Clinic Mtm
- Doing business as
- Fairview Fridley Clinic Mtm
Registry dates
- Enumerated
- 2011-07-21
- 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.