Fairview Pharmacy Blaine
LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy Blaine is an health care organization with primary practice located at 10961 Club West Pkwy , Blaine MN 55449-5866. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Fairview Pharmacy Services Llc can be contacted via phone (763) 528-2975, or through Fasching, David via phone (612) 617-3799.
Contact Information
Primary practice address
10961 Club West Pkwy
Blaine MN 55449-5866
Phone: (763) 528-2975
Fax: (763) 528-2988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 263513 | Minnesota |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1467776682 |
|---|---|
| LBN Legal business name | Fairview Pharmacy Services Llc |
| DBA Doing business as | Fairview Pharmacy Blaine |
| Authorized official | Fasching, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2010 |
| Last updated | Mar 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467776682 | NPPES |
| Other | 2124194 | PK |
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