Target Pharmacy

LBN: Target Corporation And Subsidiaries
Target Pharmacy is an health care organization with primary practice located at 27300 Dequindre Rd , Warren MI 48092-2870. 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 And Subsidiaries can be contacted via phone (586) 573-0896, or through Ekeren, Paula via phone (612) 696-2262.

Contact Information

Primary practice address
27300 Dequindre Rd Warren MI 48092-2870
Fax: (586) 573-0896
Website:
Authorized official contact:
Name: Ekeren, Paula

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006966 Michigan

Profile Details

NPI number 1174545842
LBN Legal business name Target Corporation And Subsidiaries
DBA Doing business as Target Pharmacy
Authorized official Ekeren, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 15th, 2008 - about 16 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 1174545842 NPPES
Other 2359342 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 2359342 NCPDP PROVIDER IDENTIFICATION NUMBER

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