| NPI | 1700818788 |
|---|---|
| Doing Business As | FAIRVIEW RIVERSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262537) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-03-16 |