Organization · Type 2 NPI

Fairview Pharmacy Services, LLC

Non-Pharmacy Dispensing Site · Oakdale, MN

NPI number 1104331438 Active

Practice location

1099 Helmo Ave N, Ste 100
Oakdale, MN 55128-6034

Call (651) 326-5300 Map

Fax (651) 326-5350

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.)

Other non-pharmacy dispensing site providers in Oakdale

Healtheast Care SystemNon-Pharmacy Dispensing Site Oakdale, MN NPI 1669514493

See all in Oakdale →

NPI record

NPI: 1104331438
Entity type: Organization (Type 2)
Issued: Dec 8, 2017
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Fairview Oakdale Clinic MTM · doing business as
Healtheast Oakdale Clinic MTM · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1104331438

Fairview Pharmacy Services, LLC's National Provider Identifier is 1104331438, issued on Dec 8, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Oakdale, MN. The record was last updated on Jul 30, 2026.