Fairview Pharmacy Maplewood 340B

LBN: Fairview Pharmacy Services, Llc
Fairview Pharmacy Maplewood 340B is an health care organization with primary practice located at 2945 Hazelwood St Ste 105, Maplewood MN 55109. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fairview Pharmacy Services, Llc can be contacted via phone (651) 471-9500, or through Beacher, Robert via phone (612) 672-5139.

Contact Information

Primary practice address
2945 Hazelwood St Ste 105 Maplewood MN 55109
Phone: (651) 471-9500
Fax: (612) 365-0384
Website:
Map and Directions
Authorized official contact:
Name: Beacher, Robert
Phone: (612) 672-5139

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1003327917
LBN Legal business name Fairview Pharmacy Services, Llc
DBA Doing business as Fairview Pharmacy Maplewood 340B
Authorized official Beacher, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2017
Last updated Nov 4th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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