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FAIRVIEW PHARMACY SERVICE LLC NPI 1659937944


NPI Information

NPI: 1659937944
Provider Name: FAIRVIEW PHARMACY SERVICE LLC

Doing Business As: SMILEYS FAMILY MEDICINE CLINIC MTM

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2020 E 28TH ST
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 333-0770
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FAIRVIEW PHARMACY SERVICE LLC is a non pharmacy dispensing site in Minneapolis, 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 1659937944. The provider is registered as an organization entity type.
The provider Is Doing Business As Smileys Family Medicine Clinic Mtm.

The provider's business location address is:

2020 E 28TH ST
MINNEAPOLIS, MN
ZIP 55407-394
Phone: (612) 333-0770
Fax: (612) 333-1986

The provider's authorized official is David Fasching .
The authorized official title is Cfo and has the following contact phone number (612) 617-3799.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 4/12/2023.


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
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: 4/28/2024

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