Fairview Pharmacy Services Llc
Compounding Pharmacy
3650 Victoria St N, Ste 500, Shoreview
Minnesota, 55126-2906
612-672-5737 612-672-5738
Fairview Pharmacy Services Llc is a Compounding Pharmacy in Shoreview, Minnesota. It is located at 3650 Victoria St N, Ste 500, Shoreview and it's customer support contact number is 612-672-5737. The authorized person of Fairview Pharmacy Services Llc is Sameer Badlani who is Chairman Of The Board of the pharmacy and his contact number is 612-617-3799. Active license number of Fairview Pharmacy Services Llc is 262526 for Compounding Pharmacy in Minnesota. Fairview Pharmacy Services Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fairview Pharmacy Services Llc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Fairview Pharmacy Services Llc 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 Pharmacy Services Llc |
| Type: | Compounding Pharmacy |
| Location: | 3650 Victoria St N, Ste 500, Shoreview,
Minnesota, 55126-2906 |
| Phone: | 612-672-5737 |
| Fax: | 612-672-5738 |
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: | Sameer Badlani |
| Position: | Chairman Of The Board |
| 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: | 1629241732 |
| NPI Enumeration Date: | 09 Apr, 2008 |
| NPI Last Update On: | 10 Oct, 2025 |
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 Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 262526 | Minnesota | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
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 |
| 2048483 | Other | | Pk |
Medicare Enrollment:
Fairview Pharmacy Services Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2961573084 | O20170331000310 | Fairview Pharmacy Services Llc | DME SUPPLIER - PHARMACY |
Products Available:
Fairview Pharmacy Services Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Urological Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nw 7429, Po Box 1450
Minneapolis, Minnesota |
| Zip: | 55485-7429 |
| Phone Number: | -- |
Patients can reach Fairview Pharmacy Services Llc at
3650 Victoria St N, Ste 500, Shoreview, Minnesota or can
call on customer care at 612-672-5737.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.