Fairview Pharmacy University Village
LBN: Fairview Pharmacy Services Llc
Fairview Pharmacy University Village is an health care organization with primary practice located at 2545 University Ave Se , Minneapolis MN 55414-3205. The organization recently has 2 registered licenses in different health care specialties including 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 (612) 672-1430, or through Fasching, David via phone (612) 617-3799.
Contact Information
Primary practice address
2545 University Ave Se
Minneapolis MN 55414-3205
Phone: (612) 672-1430
Fax: (612) 672-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 262742 | Minnesota |
Profile Details
| NPI number | 1861426710 |
|---|---|
| LBN Legal business name | Fairview Pharmacy Services Llc |
| DBA Doing business as | Fairview Pharmacy University Village |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861426710 | NPPES |
| Minnesota | MEDICAID | 94993100 | |
| Minnesota | MEDICAID | 1861426710 | |
| Minnesota | Other | 2048634 |
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