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

Fairview Pharmacy Services LLC

Organization Pharmacy · NPI 1629241732

Fairview Pharmacy Services LLC is a Pharmacy in Shoreview, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
3
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

3650 Victoria St N Ste 500
Shoreview, MN 55126-2906
Phone: (612) 672-5737
Fax: (612) 672-5738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 262526 (MN)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1629241732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameer Badlani — Chairman Of The Board · (612) 617-3799
Other names Fairview Compounding Pharmacy; Fairview Compounding Pharmacy
NPI enumeratedApril 9, 2008
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing addressNw 7429, Po Box 1450, Minneapolis, MN 55485-7429

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