NPI: 1457649667 · FRIDLEY, MN 55432 · Non-Pharmacy Dispensing Site · NPI assigned 07/21/2011
| Authorized Official | FASCHING, DAVID (CFO) |
| NPI Enumeration Date | 07/21/2011 |
Other providers sharing the same authorized official: FASCHING, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| FAIRVIEW PHARMACY SERVICES, LLC | SAINT PAUL | MN | $120K |
| FAIRVIEW PHARMACY SERVICES LLC | MINNEAPOLIS | MN | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 159 | $5K |
| 2024 | 160 | $6K |