1326183609 NPI number — FAIRVIEW PHARMACY SERVICES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326183609 NPI number — FAIRVIEW PHARMACY SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAIRVIEW PHARMACY SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326183609
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7412164
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60674-2164
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-406-8962
Provider Business Mailing Address Fax Number:
651-406-8870

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3305 CENTRAL PARK VILLAGE DR
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
EAGAN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55121-7707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-406-8962
Provider Business Practice Location Address Fax Number:
651-406-8870
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BADLANI
Authorized Official First Name:
SAMEER
Authorized Official Middle Name:
Authorized Official Title or Position:
CHAIRMAN OF THE BOARD
Authorized Official Telephone Number:
612-617-3799

Provider Taxonomy Codes

  • Taxonomy code: 332900000X , with the licence number:  2625276 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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