| NPI | 1487839189 |
|---|---|
| Doing Business As | FAIRVIEW ANDOVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263115) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2023-03-16 |