Fairview Maple Grove Clinic Mtm is not a DME supplier for medicare equipments and products.
Fairview Maple Grove Clinic Mtm is a Non-pharmacy Dispensing Site in Maple Grove, Minnesota. This pharmacy is owned and operated by Fairview Pharmacy Services Llc. It is located at 14500 99th Ave N Suite 1c001, Maple Grove and it's customer support contact number is 763-898-1810. The authorized person of Fairview Maple Grove Clinic Mtm is David Fasching who is Cfo of the pharmacy and his contact number is 612-617-3799. Active license number of Fairview Maple Grove Clinic Mtm is APPLIED for Non-pharmacy Dispensing Site in Minnesota. Fairview Maple Grove 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 Maple Grove 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 Maple Grove Clinic Mtm
Type:
Non-pharmacy Dispensing Site
Location:
14500 99th Ave N Suite 1c001, Maple Grove, Minnesota, 55369
Phone:
763-898-1810
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:
1063615979
NPI Enumeration Date:
07 Jun, 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 Maple Grove Clinic Mtm are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
APPLIED
Minnesota
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 1450 Nw5823, Minneapolis, Minnesota
Zip:
55485
Phone Number:
763-898-1810
Fax Number:
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Patients can reach Fairview Maple Grove Clinic Mtm at 14500 99th Ave N Suite 1c001, Maple Grove, Minnesota or can call on customer care at 763-898-1810.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Maple Grove, Minnesota
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