Provider Demographics
NPI:1568670131
Name:TARGET CORPORATION
Entity Type:Organization
Organization Name:TARGET CORPORATION
Other - Org Name:TARGET T-2266
Other - Org Type:Doing Business As
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 1:20900 WESTGATE MALL
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-1320
Practice Address - Country:US
Practice Address - Phone:216-325-0753
Practice Address - Fax:216-325-0753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies