Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Non-Pharmacy Dispensing Site · North Branch, MN

NPI number 1033552971 Active

Practice location

5366 386th St NE
North Branch, MN 55056-5833

Call (651) 674-8353 Map

Fax (651) 674-2962

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

14 other providers at this address

NPI record

NPI: 1033552971
Entity type: Organization (Type 2)
Issued: Apr 10, 2013
Last updated: Jul 30, 2026
Status: Active

Other names

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Fairview North Branch Clinic MTM · doing business as
Fairview North Branch Clinic MTM · doing business as

Authorized official

Sameer Badlani
Chairman of the Board
(612) 617-3799

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033552971

Fairview Pharmacy Services LLC's National Provider Identifier is 1033552971, issued on Apr 10, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in North Branch, MN. The record was last updated on Jul 30, 2026.