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Fairview Pharmacy Services LLC — NPI 1487891768, Eden Prairie, MN | NPI Central

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NPI 1487891768

OrganizationActive

Fairview Pharmacy Services LLC

NPI 1487891768 · Non-Pharmacy Dispensing Site · Eden Prairie, MN

Provider details

NPI number: 1487891768
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Sameer Badlani, Chairman of the Board(612) 617-3799
License: 2625726 (MN)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 2625726 (MN)
Suppliers

Practice location

830 Prairie Center Dr

Ste 180

Eden Prairie, MN 55344-7301

Phone: (952) 826-6500

Fax: (952) 826-6584

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 7412164

Chicago, IL 60674-2164

Other names (DBA / former)

Doing business as: Fairview Eden Prairie Clinic Mtm

Registry dates

Enumerated: 2009-01-08
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.