| NPI | 1629241732 |
|---|---|
| Doing Business As | FAIRVIEW COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MN 262526) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-04-10 |