Target Pharmacy
LBN: Target Corporation And Subsidiaries
Target Pharmacy is an health care organization with primary practice located at 2055 W Park Place Blvd , Stone Mountain GA 30087-3531. 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 (770) 498-5886, or through Ekeren, Paula via phone (612) 696-2262.
Contact Information
Primary practice address
2055 W Park Place Blvd
Stone Mountain GA 30087-3531
Phone: (770) 498-5886
Fax: (770) 498-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8290 | Georgia |
Profile Details
| NPI number | 1356363907 |
|---|---|
| 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 17 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 | 1356363907 | NPPES |
| Georgia | MEDICAID | 00816439A | |
| Georgia | Other | 1145879 |
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