Organization
TARGET CORPORATION
Active
Other names
TARGET CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA EKEREN (MANAGED CARE ADMIN SPECIALIST)
(612) 696-2262
Entity
Organization
Contact information
Practice address
650 N CONGRESS AVE, ATTN PHARMACY ETL, BOYNTON BEACH, FL 33426-3445
(561) 396-2203
(561) 536-0250
Mailing address
650 N CONGRESS AVE, ATTN PHARMACY ETL, BOYNTON BEACH, FL 33426-3445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093549
OTHER ID NUMBER
—
05
—
25184400
—
FL
Enumeration date
05/17/2007
Last updated
12/07/2007
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