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FAIRVIEW PHARMACY SERVICES LLC

Medical Equipment Supplier Yellow Pages

Blaine, Minnesota

Provider NPI: 1467776682

Organization Information:
Organization Name:  FAIRVIEW PHARMACY SERVICES LLC


Practice Location:
10961 CLUB WEST PKWY  BLAINE, MN 55449 US
Tel: 763-528-2975  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
N3336C0003XSuppliers
Pharmacy
Y333600000XSuppliers
Pharmacy
MN263513

Other Provider Identifiers:

IssuerNumberStateType
PK212419401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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