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
3900 N 124TH ST, MILWAUKEE, WI 53222-2105
(414) 466-0261
(414) 466-0261
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
7795042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33234800
—
WI
01
—
5124451
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/24/2006
Last updated
09/15/2008
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