# TARGET PHARMACY T-1060

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619926854
- **Authorized official:** CHARLIE LEE RPH (PHARMACY TEAM LEADER)
- **Authorized official phone:** (608) 827-9483

## Contact information

- **Practice address:** 201 JUNCTION RD, MADISON, WI 53717-2615
- **Practice address phone:** (608) 827-9483
- **Practice address fax:** (608) 827-9483
- **Mailing address:** 201 JUNCTION RD, MADISON, WI 53717-2615
- **Mailing address phone:** (608) 827-9483
- **Mailing address fax:** (608) 827-9483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 8075 | WI | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33255700 | — | WI |
| 01 | — | 5126253 | NABP OR NCPDP NUMBER | WI |
| 01 | — | 8075 | PHARMACY LICENSE NUMBER | WI |