Target Store #T-0852
LBN: Target Store #T-0852
Target Store #T-0852 is an health care organization with primary practice located at 475 Rohnert Park Expy W , Rohnert Park CA 94928-7907. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty.
Target Store #T-0852 can be contacted via phone (707) 585-2420, or through Days, Julie via phone (707) 585-2420.
Contact Information
Primary practice address
475 Rohnert Park Expy W
Rohnert Park CA 94928-7907
Phone: (707) 585-2420
Fax: (707) 585-2420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 57165 | California |
Profile Details
NPI number | 1336246776 |
---|---|
LBN Legal business name | Target Store #T-0852 |
DBA Doing business as | |
Authorized official | Days, Julie PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 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 | 1336246776 | NPPES |
California | Other | PHA468430 | MEDI-CAL PROVIDER # |
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