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FAIRVIEW HEALTH SERVCIES NPI 1548344294


NPI Information

NPI: 1548344294
Provider Name: FAIRVIEW HEALTH SERVCIES

Doing Business As: FAIRVIEW SOUTHDALE HOSPITAL PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
6401 FRANCE AVE S
EDINA, MN
ZIP 55435
Phone: (952) 924-5160
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FAIRVIEW HEALTH SERVCIES is a clinic pharmacy pharmacy in Edina, MN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. FAIRVIEW HEALTH SERVCIES NPI is 1548344294. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Southdale Hospital Pharmacy.

The provider's business location address is:

6401 FRANCE AVE S
EDINA, MN
ZIP 55435-104
Phone: (952) 924-5160
Fax: (612) 924-1304

The provider's authorized official is Robert Beacher .
The authorized official title is President and has the following contact phone number (612) 672-7047.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/29/2023.


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
13336C0003XPharmacyCommunity/Retail Pharmacy261547MINNESOTANo
23336C0002XPharmacyClinic PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1557045000MEDICAIDMINNESOTA
22045269OTHERPK

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: 4/28/2024

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