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FAIRVIEW PHARMACY SERVICES LLC NPI 1851436125


NPI Information

NPI: 1851436125
Provider Name: FAIRVIEW PHARMACY SERVICES LLC

Doing Business As: FAIRVIEW HIGHLAND PARK PHARMACY MTM

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2155 FORD PKWY
SAINT PAUL, MN
ZIP 55116
Phone: (651) 696-5020
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FAIRVIEW PHARMACY SERVICES LLC is a non pharmacy dispensing site in Saint Paul, 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 SERVICES LLC NPI is 1851436125. The provider is registered as an organization entity type.
The provider Is Doing Business As Fairview Highland Park Pharmacy Mtm.

The provider's business location address is:

2155 FORD PKWY
SAINT PAUL, MN
ZIP 55116-862
Phone: (651) 696-5020
Fax: (651) 696-5025

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 2/21/2007 and was last updated on 4/13/2023.


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 Site2625302MINNESOTAYes

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
1206905900MEDICAIDMINNESOTA

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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