| NPI | 1548344294 | 
|---|---|
| Doing Business As | FAIRVIEW SOUTHDALE HOSPITAL PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT BEACHER President 612-672-7047  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 261547)  | 
| Enumeration Date | 2006-10-25 | 
| Last Update Date | 2024-04-30 |