NPI | 1003838624 |
---|---|
Doing Business As | TARGET PHARMACY |
Entity Type | Organization |
Authorized Contact | KIMBERLY JEROME Hc Enrollment Specialist 612-696-8312 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH0012102) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2015-01-30 |