Organization
TARGET CORPORATION
Active
Other names
TARGET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JEROME (HC ENROLLMENT SPECIALIST)
(612) 696-8312
Entity
Organization
Contact information
Practice address
951 N PROMENADE PKWY, CASA GRANDE, AZ 85194-5400
(520) 413-6972
(520) 413-6982
Mailing address
1000 NICOLLET MALL # 1795, MINNEAPOLIS, MN 55403-2542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y04860
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992587
PK
—
05
—
287609
—
AZ
Enumeration date
09/04/2007
Last updated
01/30/2015
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