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Organization

TARGET CORPORATION AND SUBSIDIARIES

Active
Other names
Target Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBYN STORTROEN (PHARMACY ENROLLMENT SPECIALIST)
(612) 761-5056
Entity
Organization

Contact information

Practice address
3130 44TH ST SW, GRANDVILLE, MI 49418-2567
(612) 761-5056
Mailing address
1000 NICOLLET MALL # 0910, MINNEAPOLIS, MN 55403-2542

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2377011
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/31/2012
Last updated
07/31/2012
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