Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Pharmacy · Blaine, MN

NPI number 1467776682 Active

Practice location

10961 Club West Pkwy
Blaine, MN 55449-5866

Call (763) 528-2975 Map

Fax (763) 528-2988

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 Primary	333600000X	263513 (MN)
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

24 other providers at this address

Other pharmacy providers in Blaine

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NPI record

NPI: 1467776682
Entity type: Organization (Type 2)
Issued: Mar 17, 2010
Last updated: Mar 12, 2025
Status: Active

Other names

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Fairview Pharmacy Blaine · doing business as
Fairview Pharmacy Blaine · 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 1467776682

Fairview Pharmacy Services LLC's National Provider Identifier is 1467776682, issued on Mar 17, 2010. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Blaine, MN. The record was last updated on Mar 12, 2025.