OrganizationActive
Fairview Pharmacy Services LLC
NPI 1629357918 · Non-Pharmacy Dispensing Site · Brooklyn Park, MN
Provider details
- NPI number
- 1629357918
- 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
10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone: (651) 746-2575
Fax: (763) 569-6240
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412164
Chicago, IL 60674-2164
Other names (DBA / former)
- Doing business as
- Fairview Brooklyn Park Clinic Mtm
- Doing business as
- Fairview Brooklyn Park Clinic Mtm
Registry dates
- Enumerated
- 2011-08-04
- 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.