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FAIRVIEW PHARMACY SERVICES LLC

Medical Equipment Supplier Yellow Pages

Apple Valley, Minnesota

Provider NPI: 1063444057

Organization Information:
Organization Name:  FAIRVIEW PHARMACY SERVICES LLC


Practice Location:
15650 CEDAR AVE  APPLE VALLEY, MN 55124 US
Tel: 952-997-4155  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336C0002XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MN262524

Other Provider Identifiers:

IssuerNumberStateType
PK204849101
1063444057MN05
984645000MN05
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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