Fairview Southdale Hospital Pharmacy

LBN: Fairview Health Servcies
Fairview Southdale Hospital Pharmacy is an health care organization with primary practice located at 6401 France Ave S , Edina MN 55435-2104. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Fairview Health Servcies can be contacted via phone (952) 924-5160, or through Beacher, Robert via phone (612) 672-7047.

Contact Information

Primary practice address
6401 France Ave S Edina MN 55435-2104
Phone: (952) 924-5160
Fax: (612) 924-1304
Website:
Map and Directions
Authorized official contact:
Name: Beacher, Robert
Phone: (612) 672-7047

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 261547 Minnesota

Profile Details

NPI number 1548344294
LBN Legal business name Fairview Health Servcies
DBA Doing business as Fairview Southdale Hospital Pharmacy
Authorized official Beacher, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 30th, 2024 - about last year

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 1548344294 NPPES
Minnesota MEDICAID 557045000
Minnesota Other 2045269

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