Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Community/Retail Pharmacy · Wyoming, MN

NPI number 1790717783 Active

Practice location

5200 Fairview Blvd
Wyoming, MN 55092-8013

Call (651) 982-7500 Map

Fax (651) 982-7504

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
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	262536 (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 …

185 other providers at this address

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NPI record

NPI: 1790717783
Entity type: Organization (Type 2)
Issued: Jul 7, 2006
Last updated: Mar 12, 2025
Status: Active

Other names

<unavail>
Fairview Lakes Pharmacy Wyoming · doing business as
Fairview Lakes Pharmacy Wyoming · 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 1790717783

Fairview Pharmacy Services LLC's National Provider Identifier is 1790717783, issued on Jul 7, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Wyoming, MN. The record was last updated on Mar 12, 2025.