# TARGET CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TARGET PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629090436
- **Authorized official:** KIMBERLY JEROME (HC ENROLLMENT SPECIALIST)
- **Authorized official phone:** (612) 696-8312

## Contact information

- **Practice address:** 1717 E WEST RD, CALUMET CITY, IL 60409-5414
- **Practice address phone:** (708) 730-3101
- **Practice address fax:** (708) 360-4339
- **Mailing address:** 1000 NICOLLET MALL \# 1795, MINNEAPOLIS, MN 55403-2542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 5411418 | IL | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 02/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2022126 | PK | — |