Last Updated: 1/4/2025 5:23:15 AM
Pharmacy
Detail
Corporation / Company Owner Name |
FAIRVIEW PHARMACY SERVICES, LLC |
Business (DBA) Name |
FAIRVIEW SPECIALTY SERVICES PHARMACY |
License Number |
99-1308 |
Type of Pharmacy |
Non-Resident |
Address |
711 KASOTA AVE SE STE A |
City, State, Zip |
MINNEAPOLIS,
MN 55414-2842 |
Country |
|
Issue Date |
08/15/2008 |
Renewed Date |
08/16/2024 |
Expiration Date |
08/31/2025 |
End Date |
|
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
MARK RYAN NICKELL - 16677 |
Status |
License in Good Standing |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
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