Fairview Mesaba Pharmacy

LBN: Fairview Ranjie Reg Hlth Svs
Fairview Mesaba Pharmacy is an health care organization with primary practice located at 750 E 34Th St , Hibbing MN 55746-2341. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fairview Ranjie Reg Hlth Svs can be contacted via phone (218) 263-4922, or through Kritz, John via phone (281) 362-6657.

Contact Information

Primary practice address
750 E 34Th St Hibbing MN 55746-2341
Phone: (218) 263-4922
Fax: (218) 362-6782
Website:
Map and Directions
Authorized official contact:
Name: Kritz, John
Phone: (281) 362-6657

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2613288 Minnesota

Profile Details

NPI number 1790889756
LBN Legal business name Fairview Ranjie Reg Hlth Svs
DBA Doing business as Fairview Mesaba Pharmacy
Authorized official Kritz, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 11th, 2008 - about 17 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 1790889756 NPPES
Other 2405466 OTHER ID NUMBER
Other 2405466 OTHER ID NUMBER
MEDICAID 411016100 OTHER ID NUMBER

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