FAIRVIEW PHARMACY SERVICES LLC
15650 Cedar Ave
Apple Valley, MN 55124
952-997-4155
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0002X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | MN | 262524 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1063444057 | MN | MEDICAID | |
PK | 2048491 | OTHER | |
984645000 | MN | MEDICAID |