Organization Name: | FAIRVIEW PHARMACY SERVICES LLC |
NPI Number: | 1124228176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BEACHER (PRESIDENT) |
Mailing Address: | 14500 99th Ave N 1a029 Maple Grove |
State: | MN US |
Postal Code: | 553694730 |
Phone Number: | 7638981800 |
Fax Number: | 7638981801 |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 07/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |