Organization
TARGET CORPORATION AND SUBSIDIARIES
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA EKEREN (MANAGED CARE ADMINISTRATOR)
(612) 696-2262
Entity
Organization
Contact information
Practice address
211 W IOWA AVE, SUNNYVALE, CA 94086-6133
(408) 749-8441
(408) 749-8441
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
PHY45810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0568622
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA458100
—
CA
Enumeration date
07/24/2006
Last updated
09/15/2008
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