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FAIRVIEW PHARMACY SERVICES LLC NPI 1245636489


NPI Information

NPI: 1245636489
Provider Name: FAIRVIEW PHARMACY SERVICES LLC

Doing Business As: FAIRVIEW PHARMACY CHISAGO CITY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11725 STINSON AVE BLDG B
CHISAGO CITY, MN
ZIP 55013
Phone: (651) 213-8080
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FAIRVIEW PHARMACY SERVICES LLC is a community/retail pharmacy pharmacy in Chisago City, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FAIRVIEW PHARMACY SERVICES LLC NPI is 1245636489. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Pharmacy Chisago City.

The provider's business location address is:

11725 STINSON AVE BLDG B
CHISAGO CITY, MN
ZIP 55013-542
Phone: (651) 213-8080
Fax: (651) 213-8081

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 11/17/2014 and was last updated on 4/10/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy264593MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12148755OTHERPK

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: 5/5/2024

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