Fairview New Brighton Clinic Mtm is not a DME supplier for medicare equipments and products.
Fairview New Brighton Clinic Mtm is a Non-pharmacy Dispensing Site in Minneapolis, Minnesota. This pharmacy is owned and operated by Fairview Pharmacy Services Llc. It is located at 2847 Johnson St Ne, Minneapolis and it's customer support contact number is 612-789-7277. The authorized person of Fairview New Brighton Clinic Mtm is David Fasching who is Cfo of the pharmacy and his contact number is 612-617-3799. Active license number of Fairview New Brighton Clinic Mtm is 2625386 for Non-pharmacy Dispensing Site in Minnesota. Fairview New Brighton 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 New Brighton 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 New Brighton Clinic Mtm
Type:
Non-pharmacy Dispensing Site
Location:
2847 Johnson St Ne, Minneapolis, Minnesota, 55418-3055
Phone:
612-789-7277
Fax:
612-706-4591
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:
1760527030
NPI Enumeration Date:
21 Feb, 2007
NPI Last Update On:
13 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 New Brighton Clinic Mtm are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
2625386
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
198404700
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, Attn Contracting Minneapolis, Minnesota
Zip:
55485
Phone Number:
612-672-5174
Fax Number:
612-672-6659
Patients can reach Fairview New Brighton Clinic Mtm at 2847 Johnson St Ne, Minneapolis, Minnesota or can call on customer care at 612-789-7277.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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