# TARGET CORPORATION AND SUBSIDIARIES

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

## Provider details

- **NPI number:** 1649292343
- **Authorized official:** PAULA EKEREN (MANAGED CARE ADMINISTRATOR)
- **Authorized official phone:** (612) 696-2262

## Contact information

- **Practice address:** 3900 N 124TH ST, MILWAUKEE, WI 53222-2105
- **Practice address phone:** (414) 466-0261
- **Practice address fax:** (414) 466-0261
- **Mailing address:** 1000 NICOLLET MALL \# 0910, 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 | 7795042 | WI | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 09/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33234800 | — | WI |
| 01 | — | 5124451 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |