Provider Demographics
NPI:1194932087
Name:TARGET CORPORATION
Entity type:Organization
Organization Name:TARGET CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKEREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-696-2262
Mailing Address - Street 1:1000 NICOLLET MALL
Mailing Address - Street 2:ATTN PHARMACY MANAGED CARE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2542
Mailing Address - Country:US
Mailing Address - Phone:612-696-2262
Mailing Address - Fax:612-696-0859
Practice Address - Street 1:29451 PLYMOUTH RD
Practice Address - Street 2:RELO 0352
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2112
Practice Address - Country:US
Practice Address - Phone:734-793-0638
Practice Address - Fax:734-793-0638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy