NPI | 1013035120 |
---|---|
Doing Business As | FAIRVIEW UNIVERSITY MASONIC PHARMACY |
Entity Type | Organization |
Authorized Contact | SAMEER BADLANI Chairman Of The Board 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262967) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2025-03-12 |