Organization
TARGET CORPORATION AND SUBSIDIARIES
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN STORTROEN (HEALTHCARE ENROLLMENT SPECIALIST)
(612) 696-8311
Entity
Organization
Contact information
Practice address
2189 W CRAIG RD, N LAS VEGAS, NV 89032-3019
(702) 648-1153
(702) 648-1153
Mailing address
1000 NICOLLET MALL # 1795, MINNEAPOLIS, MN 55403-2542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH1476
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051383
PK
—
05
—
2802179
—
NV
Enumeration date
07/24/2006
Last updated
03/21/2014
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