Organization
TARGET CORPORATION AND SUBSIDIARIES
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PACKER (MANAGED CARE ADMIN SPECIALIST)
(612) 696-2268
Entity
Organization
Contact information
Practice address
26831 S TAMIAMI TRL, BONITA SPRINGS, FL 34134-7823
(239) 948-1999
(239) 948-1903
Mailing address
1000 NICOLLET MALL # 0910, MINNEAPOLIS, MN 55403-2542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH0015805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106334100
—
FL
01
—
1082267
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/24/2006
Last updated
11/10/2010
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