Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY THU VO (TECHNICIAN)
(763) 425-5300
Entity
Organization
Contact information
Practice address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
(763) 425-5300
Mailing address
7535 W BROADWAY AVE, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
(763) 425-5300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
720810
MN
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up