Fairview Pharmacy Maplewood

LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy Maplewood is an health care organization with primary practice located at 2945 Hazelwood St Suite 105, Maplewood MN 55109-1241. 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 / Clinic Pharmacy is the primary health care specialty. Fairview Pharmacy Services Llc can be contacted via phone (651) 471-9500, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
2945 Hazelwood St Suite 105 Maplewood MN 55109-1241
Phone: (651) 471-9500
Fax: (612) 365-0384
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 265404 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740708767
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Pharmacy Maplewood
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2017
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740708767 NPPES
Other 2171492 PK

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