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Fairview Pharmacy Service LLC — NPI 1689355364, Minneapolis, MN | NPI Central

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NPI 1689355364

OrganizationActive

Fairview Pharmacy Service LLC

NPI 1689355364 · Non-Pharmacy Dispensing Site · Minneapolis, MN

Provider details

NPI number: 1689355364
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

2535 University Ave Se

Minneapolis, MN 55414-3205

Phone: (612) 672-5128

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

2535 University Ave Se

Minneapolis, MN 55414-3205

Other names (DBA / former)

Doing business as: M Health Fairview Children'S Clinic Mtm
Doing business as: M Health Fairview Children'S Clinic Mtm

Registry dates

Enumerated: 2023-07-26
Last updated: 2025-03-12
Certified: 2025-03-12

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