| NPI | 1417979063 | 
|---|---|
| Doing Business As | TARGET PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | DENISE PACKER Managed Care Admin Specialist 612-696-2268  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH17983)  | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-24 | 
| Last Update Date | 2010-08-20 |