| NPI | 1013428929 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY CBCD 340B |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-04-12 |