Fairview Home Infusion Retail

LBN: Fairview Pharmacy Services Llc
Fairview Home Infusion Retail is an health care organization with primary practice located at 711B Kasota Ave Se , Minneapolis MN 55414-2842. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (612) 672-2233, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
711B Kasota Ave Se Minneapolis MN 55414-2842
Phone: (612) 672-2233
Fax: (612) 672-2234
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 262531 Minnesota
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1508890450
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Home Infusion Retail
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 28th, 2024 - about 9 months 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 1508890450 NPPES
Other 2048086 PK
MEDICAID 832071300 PK
MEDICAID 1508890450 PK

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