NPI | 1073794111 |
---|---|
Doing Business As | FAIRVIEW HOME INFUSION 340B |
Entity Type | Organization |
Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MN 2625315) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2023-04-12 |