Fairview Centennial Lakes Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview Centennial Lakes Pharmacy is an health care organization with primary practice located at 7373 France Ave S Ste 206 , Edina MN 55435-4538. 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 / Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (952) 985-8160, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
7373 France Ave S Ste 206 Edina MN 55435-4538
Phone: (952) 985-8160
Fax: (952) 985-8188
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 2625250 Minnesota
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1699709543
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Centennial Lakes Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699709543 NPPES
Other 2419201 OTHER ID NUMBER
Other 2419201 OTHER ID NUMBER
MEDICAID 877905800 OTHER ID NUMBER

Popular Providers