Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Non-Pharmacy Dispensing Site · Fridley, MN

NPI number 1457649667 Active

Practice location

6341 University Ave NE, Fl 1
Fridley, MN 55432-4946

Call (763) 586-5844 Map

Fax (763) 586-5888

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.)

63 other providers at this address

NPI record

NPI: 1457649667
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Fairview Fridley Clinic MTM · doing business as
Fairview Fridley Clinic MTM · doing business as

Authorized official

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

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About NPI 1457649667

Fairview Pharmacy Services LLC's National Provider Identifier is 1457649667, issued on Jul 21, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fridley, MN. The record was last updated on Jul 30, 2026.