Organization · Type 2 NPI

Fairview Pharmacy Service LLC

Non-Pharmacy Dispensing Site · Minneapolis, MN

NPI number 1689355364 Active

Practice location

2535 University Ave SE
Minneapolis, MN 55414-3205

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.)

13 other providers at this address

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NPI record

NPI: 1689355364
Entity type: Organization (Type 2)
Issued: Jul 26, 2023
Last updated: Mar 12, 2025
Status: Active

Other names

<unavail>
M Health Fairview Children's Clinic MTM · doing business as
M Health Fairview Children's Clinic MTM · 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 1689355364

Fairview Pharmacy Service LLC's National Provider Identifier is 1689355364, issued on Jul 26, 2023. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 12, 2025.