| NPI | 1194148361 |
|---|---|
| Doing Business As | FAIRVIEW HOME INFUSION 340B |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MN 262531) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 262531) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2023-04-12 |