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Fairview Pharmacy Services LLC — NPI 1750947040, Saint Paul, MN | NPI Central

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NPI 1750947040

OrganizationActive

Fairview Pharmacy Services LLC

NPI 1750947040 · Non-Pharmacy Dispensing Site · Saint Paul, MN

Provider details

NPI number: 1750947040
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

1414 Maryland Ave E

Saint Paul, MN 55106-2824

Phone: (651) 772-3461

Fax: (651) 772-2605

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 Phalen Clinic Mtm
Doing business as: Ump Phalen Clinic Mtm

Registry dates

Enumerated: 2019-05-13
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.