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Organization
TARGET PHARMACY
Active
Organization
TARGET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL EDELSTEIN PHARM. D (SUPERVISING PHARMACIST)
(718) 701-6206
Entity
Organization
Contact information
Practice address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 701-6206
Mailing address
2900 VETERANS RD W, STATEN ISLAND, NY 10309-2502
(718) 701-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0541491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736276
—
NY
Enumeration date
11/20/2009
Last updated
11/20/2009
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