Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Community/Retail Pharmacy · Minneapolis, MN

NPI number 1619909694 Active

Practice location

909 Fulton St SE Fl 1, Mail Code 2121AA
Minneapolis, MN 55455-4800

Call (612) 676-4100 Map

Fax (612) 676-4131

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	262549 (MN)
Specialty Pharmacy	3336S0011X	None listed

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 …

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NPI record

NPI: 1619909694
Entity type: Organization (Type 2)
Issued: Jul 7, 2006
Last updated: Mar 12, 2025
Status: Active

Other names

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Fairview University Clinic Pharmacy · doing business as
Fairview University Clinic Pharmacy · 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 1619909694

Fairview Pharmacy Services LLC's National Provider Identifier is 1619909694, issued on Jul 7, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 12, 2025.