Fairview Edina Pharmacy 340B

LBN: Fairview Pharmacy Services Llc
Fairview Edina Pharmacy 340B is an health care organization with primary practice located at 6401 France Ave S Ste Sl-1 , Edina MN 55435-2104. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (952) 924-1400, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
6401 France Ave S Ste Sl-1 Edina MN 55435-2104
Phone: (952) 924-1400
Fax: (952) 924-1404
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 262528-9 Minnesota

Profile Details

NPI number 1659632743
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Edina Pharmacy 340B
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2012
Last updated Apr 12th, 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 1659632743 NPPES
Minnesota MEDICAID 002534801

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