Target Pharmacy

LBN: Target Corporation
Target Pharmacy is an health care organization with primary practice located at 3935 Venture Dr , Duluth GA 30096-5078. 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 (770) 476-9656, or through Jerome, Kimberly via phone (612) 696-8312.

Contact Information

Primary practice address
3935 Venture Dr Duluth GA 30096-5078
Fax: (770) 476-9656
Website:
Authorized official contact:
Name: Jerome, Kimberly

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8486 Georgia

Profile Details

NPI number 1992727556
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992727556 NPPES
Other 2020675 PK
MEDICAID 00862089C PK

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