NPI | 1871787887 |
---|---|
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: MI 5301008714) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-09-02 |
Last Update Date | 2015-02-02 |