NPI | 1518999507 |
---|---|
Doing Business As | FAIRVIEW EAGAN PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262527) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-04-10 |