FAIRVIEW PHARMACY SERVICES LLC
3305 Central Park Village Dr
Eagan, MN 55121
651-406-8980
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 3336C0002X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | MN | 262527 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2048061 | OTHER | |
373684900 | MN | MEDICAID | |
1518999507 | MN | MEDICAID |