| NPI | 1881616563 |
|---|---|
| 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: VA 201003445) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-02-02 |