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General NPI Number Information
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NPI Number | 1194987644
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Entity Type | Organization
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Legal Business Name | TARGET CORPORATION AND SUBSIDIARIES
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 3060 PLAZA BONITA RD ATTN ETL PHARMACY
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City | NATIONAL CITY
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State | CA
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Zip | 91950-8004
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Country | US
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Telephone | 619-791-2750
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Fax | 619-791-2750
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Provider Business Mailing Address
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Address Line | 1000 NICOLLET MALL TPS 1792
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City | MINNEAPOLIS
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State | MN
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Zip | 55403-2542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANG CARE SPEC
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Name | PAULA EKEREN
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Credential |
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Telephone | 612-696-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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