Target Pharmacy

LBN: Target Corporation
Target Pharmacy is an health care organization with primary practice located at 10401 Us Highway 441 , Leesburg FL 34788-8787. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Target Corporation can be contacted via phone (352) 360-0209, or through Jerome, Kimberly via phone (612) 696-8312.

Contact Information

Primary practice address
10401 Us Highway 441 Leesburg FL 34788-8787
Phone: (352) 360-0209
Fax: (352) 360-7341
Website:
Map and Directions
Authorized official contact:
Name: Jerome, Kimberly
Phone: (612) 696-8312

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH0011877 Florida

Profile Details

NPI number 1033131651
LBN Legal business name Target Corporation
DBA Doing business as Target Pharmacy
Authorized official Jerome, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 30th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033131651 NPPES
Other 2011131 PK
MEDICAID 101349100 PK

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