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
21500 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-5018
(248) 423-4202
(248) 936-1561
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
5301008714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042760
PK
—
05
—
2370233
—
MI
Enumeration date
09/02/2007
Last updated
02/02/2015
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