Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Community/Retail Pharmacy · Chisago City, MN

NPI number 1245636489 Active

Practice location

11725 Stinson Ave Bldg B
Chisago City, MN 55013-9542

Call (651) 213-8080 Map

Fax (651) 213-8081

Mailing address

NW 7429, PO Box 1450
Minneapolis, MN 55485-7429

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	264593 (MN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1245636489
Entity type: Organization (Type 2)
Issued: Nov 17, 2014
Last updated: Oct 12, 2026
Status: Active

Other names

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Fairview Chisago City Pharmacy · doing business as
Fairview Pharmacy Chisago City · 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.

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About NPI 1245636489

Fairview Pharmacy Services LLC's National Provider Identifier is 1245636489, issued on Nov 17, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Chisago City, MN. The record was last updated on Oct 12, 2026.