Fairview Compounding Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview Compounding Pharmacy is an health care organization with primary practice located at 711C Kasota Ave Se , Minneapolis MN 55414-2842. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (612) 672-5737, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
711C Kasota Ave Se Minneapolis MN 55414-2842
Phone: (612) 672-5737
Fax: (612) 672-5738
Website:
Map and Directions
Authorized official contact:
Name: Fasching, David
Phone: (612) 617-3799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 262526 Minnesota

Profile Details

NPI number 1629241732
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Compounding Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2008
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 1629241732 NPPES
Other 2048483 PK

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