Fairview Pharmacy Prior Lake

LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy Prior Lake is an health care organization with primary practice located at 4151 Willowwood St Se , Prior Lake MN 55372-4304. 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 / Community/Retail Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (952) 447-9570, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
4151 Willowwood St Se Prior Lake MN 55372-4304
Phone: (952) 447-9570
Fax: (952) 447-9571
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 / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 263697 Minnesota

Profile Details

NPI number 1639477854
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Pharmacy Prior Lake
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2011
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 1639477854 NPPES
Other 2129459 PK

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