NPI: 1689814121 · MINNEAPOLIS, MN 55416 · Non-Pharmacy Dispensing Site · NPI assigned 02/24/2009
| Authorized Official | FASCHING, DAVID (CFO) |
| NPI Enumeration Date | 02/24/2009 |
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 | FRIDLEY | MN | $11K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 55 | $2K |
| 2023 | 15 | $594.90 |
| 2024 | 12 | $599.94 |