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DEPARTMENT OF INSURANCE
Licensee Search Details
Name
Fairview Pharmacy Services LLC
DOIID
931171
NAIC NPN
16718225
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Designated Home State
Active
Non Resident
Pharmacy Benefit Managers
Not Applicable
12/29/2016
3/31/2025
*If a status is
Pending, Pending Replacement
,or the record displays
Affidavit on File
, click on them for more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Pharmacy Benefit Managers
01/15/2025
03/31/2025
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.
Address Information
Type
Address
Business / Home Office
668 24th Avenue Se Minneapolis, MN 55414
Mailing
Attn: Compliance 711 Kasota Ave SeMinneapolis, MN 55414
Internet Information
Type
Address
Business Email
dept-fps-licensing@fairview.org
Internet
www.clearscript.org
Personal Email
apoehls1@fairview.org
Phone Information
Type
Phone
Business / Home Office
(612) 672-6500
Business / Home Office
(612) 672-6500
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