Organization
TARGET STORES A DIV. OF TARGET CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GRIESBAUM PHARMD (PHARMACIST)
(724) 747-8567
Entity
Organization
Contact information
Practice address
10204 TWO NOTCH RD, COLUMBIA, SC 29229-4386
(803) 788-0951
Mailing address
10204 TWO NOTCH RD, COLUMBIA, SC 29229-4386
(803) 788-0951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35644
SC
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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