Fairview Highland Park Pharmacy

LBN: Fairview Pharmacy Services Llc
Fairview Highland Park Pharmacy is an health care organization with primary practice located at 2270 Ford Parkway Suite 130, St. Paul MN 55116-3409. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 696-5020, or through Fasching, David via phone (612) 617-3799.

Contact Information

Primary practice address
2270 Ford Parkway Suite 130 St. Paul MN 55116-3409
Phone: (651) 696-5020
Fax: (691) 696-5025
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 / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 262530 Minnesota

Profile Details

NPI number 1972535953
LBN Legal business name Fairview Pharmacy Services Llc
DBA Doing business as Fairview Highland Park Pharmacy
Authorized official Fasching, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 11th, 2023 - about 2 years ago

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 1972535953 NPPES
Minnesota MEDICAID 206905900
Minnesota MEDICAID 1972535953
Minnesota Other 2047413

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