| NPI | 1194932087 |
|---|---|
| Doing Business As | TARGET T-2230 |
| Entity Type | Organization |
| Authorized Contact | PAULA EKEREN Managed Care Admin 612-696-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |