Fairview Specialty Services Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview Specialty Services Pharmacy is an health care organization with primary practice located at 711 Kasota Ave Se , Minneapolis MN 55414-2842. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (612) 672-5260, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
711 Kasota Ave Se Minneapolis MN 55414-2842
Phone: (612) 672-5260
Fax: (612) 672-5262
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 262542 Minnesota
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1427080415
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Specialty Services Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 10th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427080415 NPPES
Minnesota MEDICAID 1427080415
Minnesota Other 2048085
Minnesota MEDICAID 514179600

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