Organization · Type 2 NPI

Fairview Pharmacy Services, LLC

Non-Pharmacy Dispensing Site · Woodbury, MN

NPI number 1871008003 Active

Practice location

9900 Tamarack Rd
Woodbury, MN 55125-3609

Call (651) 471-5800 Map

Fax (651) 471-5801

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.)

8 other providers at this address

Other non-pharmacy dispensing site providers in Woodbury

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NPI record

NPI: 1871008003
Entity type: Organization (Type 2)
Issued: Dec 11, 2017
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Fairview Tamarack Clinic MTM · doing business as
Healtheast Tamarack 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 1871008003

Fairview Pharmacy Services, LLC's National Provider Identifier is 1871008003, issued on Dec 11, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Woodbury, MN. The record was last updated on Jul 30, 2026.