| NPI | 1467776682 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY BLAINE |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CEO / AO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 263513) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2024-03-05 |