Fairview Mail Order Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview Mail Order Pharmacy is an health care organization with primary practice located at 711 Kasota Ave Se , Minneapolis MN 55414-2842. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (612) 672-5260, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
711 Kasota Ave Se Minneapolis MN 55414-2842
Phone: (612) 672-5260
Fax: (612) 672-5262
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 262542 Minnesota

Profile Details

NPI number 1558605196
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Mail Order Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2012
Last updated Apr 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558605196 NPPES
Minnesota MEDICAID 1427080415
Minnesota Other 2143646

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