Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Pharmacy Services LLC

Organization Non-Pharmacy Dispensing Site · NPI 1477698744

Fairview Pharmacy Services LLC is a Non-Pharmacy Dispensing Site in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 676-5824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 2625496 (MN)

Record details

NPI number1477698744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameer Badlani — Chairman Of The Board · (612) 617-3799
Other names Fairview Fulton Primary Care Clinic Mtm; M Health Primary Care Clinic Mtm
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1700 University Ave W, Saint Paul, MN 55104-3727

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