Fairview University Masonic Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview University Masonic Pharmacy is an health care organization with primary practice located at 424 Harvard Street Se Suite 300 , Minneapolis MN 55455. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (612) 626-6429, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
424 Harvard Street Se Suite 300 Minneapolis MN 55455
Phone: (612) 626-6429
Fax: (612) 626-6208
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 262967 Minnesota

Profile Details

NPI number 1609902659
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview University Masonic Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
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 1609902659 NPPES
Minnesota MEDICAID 623133001

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