Fairview Eagan Clinic Mtm is not a DME supplier for medicare equipments and products.
Fairview Eagan Clinic Mtm is a Non-pharmacy Dispensing Site in Eagan, Minnesota. This pharmacy is owned and operated by Fairview Pharmacy Services Llc. It is located at 1440 Duckwood Drive, Eagan and it's customer support contact number is 651-406-8980. The authorized person of Fairview Eagan Clinic Mtm is David Fasching who is Cfo of the pharmacy and his contact number is 612-617-3799. Active license number of Fairview Eagan Clinic Mtm is 2625276 for Non-pharmacy Dispensing Site in Minnesota. Fairview Eagan Clinic Mtm is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Fairview Eagan Clinic Mtm type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Fairview Eagan Clinic Mtm
Type:
Non-pharmacy Dispensing Site
Location:
1440 Duckwood Drive, Eagan, Minnesota, 55112
Phone:
651-406-8980
Fax:
651-406-8981
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
David Fasching
Position:
Cfo
Contact Number:
612-617-3799
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1326183609
NPI Enumeration Date:
21 Feb, 2007
NPI Last Update On:
12 Apr, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairview Eagan Clinic Mtm are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
2625276
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
373684900
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1450 Nw7429, Minneapolis, Minnesota
Zip:
55485-7429
Phone Number:
612-672-5174
Fax Number:
612-672-6659
Patients can reach Fairview Eagan Clinic Mtm at 1440 Duckwood Drive, Eagan, Minnesota or can call on customer care at 651-406-8980.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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