Organization
TARGET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NORD (HEALTHCARE BUSINESS PARTNER)
(612) 220-6101
Entity
Organization
Contact information
Practice address
2500 E LAKE ST, MINNEAPOLIS, MN 55406-1909
(612) 721-1611
Mailing address
4736 GRAND AVE S, MINNEAPOLIS, MN 55419-5430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
183500000X
MN
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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