FAIRVIEW PHARMACY SERVICES LLC
424 Harvard St Se Ste 300
Minneapolis, MN 55455
612-626-6429
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 | 262967 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2049219 | OTHER | |
1013035120 | MN | MEDICAID |