Fairview Pharmacy North Branch
LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy North Branch is an health care organization with primary practice located at 5366 386Th St Ne , North Branch MN 55056-5833. 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 (651) 674-6800, or through Fasching, David via phone (612) 617-3799.
Contact Information
Primary practice address
5366 386Th St Ne
North Branch MN 55056-5833
Phone: (651) 674-6800
Fax: (651) 674-6801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Clinic Pharmacy | 3336C0002X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 264089 | Minnesota |
Profile Details
NPI number | 1710321054 |
---|---|
LBN Legal business name | Fairview Pharmacy Services Llc |
DBA Doing business as | Fairview Pharmacy North Branch |
Authorized official | Fasching, David |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 17th, 2013 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710321054 | NPPES |
Other | 2139575 | PK | |
MEDICAID | 1710321054 | PK |
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