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FAIRVIEW PHARMACY SERVICE LLC NPI 1316461593


NPI Information

NPI: 1316461593
Provider Name: FAIRVIEW PHARMACY SERVICE LLC

Doing Business As: FRANCE AVENUE FAMILY PHYSICIANS MTM CLINIC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 24D0403145

Address:
7250 FRANCE AVE S STE 410
EDINA, MN
ZIP 55435
Phone: (952) 831-1551
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FAIRVIEW PHARMACY SERVICE LLC is a non pharmacy dispensing site in Edina, MN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FAIRVIEW PHARMACY SERVICE LLC NPI is 1316461593. The provider is registered as an organization entity type.
The provider Is Doing Business As France Avenue Family Physicians Mtm Clinic.

The provider's business location address is:

7250 FRANCE AVE S STE 410
EDINA, MN
ZIP 55435-314
Phone: (952) 831-1551
Fax: (612) 672-7320

The provider's authorized official is Robert Beacher .
The authorized official title is President and has the following contact phone number (612) 617-3812.

The CLIA number assigned to this NPI record is 24D0403145 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 11/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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