| NPI | 1891084281 |
|---|---|
| Doing Business As | FAIRVIEW PHARMACY LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 263698) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2024-05-30 |