Fairview Grand Itasca Clinic Mtm is not a DME supplier for medicare equipments and products.
Fairview Grand Itasca Clinic Mtm is a Non-pharmacy Dispensing Site in Grand Rapids, Minnesota. This pharmacy is owned and operated by Fairview Pharmacy Services Llc. It is located at 1601 Golf Course Rd, Grand Rapids and it's customer support contact number is 218-999-1885. The authorized person of Fairview Grand Itasca Clinic Mtm is Robert Beacher who is President of the pharmacy and his contact number is 612-672-5139. Fairview Grand Itasca 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 Grand Itasca 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 Grand Itasca Clinic Mtm
Type:
Non-pharmacy Dispensing Site
Location:
1601 Golf Course Rd, Grand Rapids, Minnesota, 55744-8648
Phone:
218-999-1885
Fax:
218-999-1887
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:
Robert Beacher
Position:
President
Contact Number:
612-672-5139
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:
1578121356
NPI Enumeration Date:
05 Jun, 2019
NPI Last Update On:
31 Aug, 2022
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 Grand Itasca Clinic Mtm are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
Primary
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 9372, Minneapolis, Minnesota
Zip:
55440-9372
Phone Number:
612-672-5128
Fax Number:
612-672-7320
Patients can reach Fairview Grand Itasca Clinic Mtm at 1601 Golf Course Rd, Grand Rapids, Minnesota or can call on customer care at 218-999-1885.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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