| NPI | 1982788634 |
|---|---|
| Doing Business As | UMMC FAIRVIEW RIVERSIDE CAMPUS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID FASCHING CFO 612-672-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-12-13 |