Healtheast Pharmacy - St. Paul 340B

LBN: Fairview Pharmacy Services, Llc
Healtheast Pharmacy - St. Paul 340B is an health care organization with primary practice located at 17 Exchange St W Ste 150 , Saint Paul MN 55102-1045. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fairview Pharmacy Services, Llc can be contacted via phone (651) 326-4505, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
17 Exchange St W Ste 150 Saint Paul MN 55102-1045
Phone: (651) 326-4505
Fax: (612) 365-0382
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1366953507
LBN Legal business name Fairview Pharmacy Services, Llc
DBA Doing business as Healtheast Pharmacy - St. Paul 340B
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2017
Last updated Apr 12th, 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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