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Organization
TARGET PHARMACY T-1060
Active
Organization
TARGET PHARMACY T-1060
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE LEE RPH (PHARMACY TEAM LEADER)
(608) 827-9483
Entity
Organization
Contact information
Practice address
201 JUNCTION RD, MADISON, WI 53717-2615
(608) 827-9483
(608) 827-9483
Mailing address
201 JUNCTION RD, MADISON, WI 53717-2615
(608) 827-9483
(608) 827-9483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33255700
—
WI
01
—
5126253
NABP OR NCPDP NUMBER
WI
01
—
8075
PHARMACY LICENSE NUMBER
WI
Enumeration date
05/06/2006
Last updated
08/22/2020
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