Target Pharmacy
LBN: Target Corporation
Target Pharmacy is an health care organization with primary practice located at 8109 Mall Pkwy , Lithonia GA 30038-2546. 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 (678) 259-0047, or through Jerome, Kimberly via phone (612) 696-8312.
Contact Information
Primary practice address
8109 Mall Pkwy
Lithonia GA 30038-2546
Phone: (678) 259-0047
Fax: (678) 259-0047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE008837 | Georgia |
Profile Details
| NPI number | 1033131826 |
|---|---|
| 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 | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033131826 | NPPES |
| Georgia | MEDICAID | 000862089G | |
| Georgia | Other | 2015565 |
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