Fairview Eagan Clinic Mtm
LBN: Fairview Pharmacy Services Llc
Fairview Eagan Clinic Mtm is an health care organization with primary practice located at 1440 Duckwood Drive , Eagan MN 55112. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty.
Fairview Pharmacy Services Llc can be contacted via phone (651) 406-8980, or through Fasching, David via phone (612) 617-3799.
Contact Information
Primary practice address
1440 Duckwood Drive
Eagan MN 55112
Phone: (651) 406-8980
Fax: (651) 406-8981
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Non-Pharmacy Dispensing Site | 332900000X | 2625276 | Minnesota |
Profile Details
NPI number | 1326183609 |
---|---|
LBN Legal business name | Fairview Pharmacy Services Llc |
DBA Doing business as | Fairview Eagan Clinic Mtm |
Authorized official | Fasching, David |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Apr 12th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326183609 | NPPES |
Minnesota | MEDICAID | 373684900 |
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