Provider Demographics
NPI:1245525229
Name:TARGET PHARMACY
Entity type:Organization
Organization Name:TARGET PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF-PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PINAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:847-645-1194
Mailing Address - Street 1:1145 SHAWFORD WAY CT
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-5010
Mailing Address - Country:US
Mailing Address - Phone:847-691-2827
Mailing Address - Fax:847-645-1184
Practice Address - Street 1:2800 N SUTTON RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3717
Practice Address - Country:US
Practice Address - Phone:847-645-1194
Practice Address - Fax:847-645-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty