| NPI | 1003289257 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY BURNSVILLE SCC 340B |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2023-04-11 |