Fairview Pharmacy Burnsville Scc 340B

LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy Burnsville Scc 340B is an health care organization with primary practice located at 14101 Fairview Dr Suite 100, Burnsville MN 55337-4590. 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) 405-5630, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
14101 Fairview Dr Suite 100 Burnsville MN 55337-4590
Phone: (952) 405-5630
Fax: (952) 405-5631
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1003289257
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Pharmacy Burnsville Scc 340B
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Apr 11th, 2023 - about 2 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 1003289257 NPPES
Minnesota MEDICAID 1851792469

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