{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "TARGET PHARMACY",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "1145 SHAWFORD WAY CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELGIN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60120-5010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-691-2827",
"MailingAddressFaxNumber": "847-645-1184",
"FirstLinePracticeLocationAddress": "2800 N SUTTON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOFFMAN ESTATES",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60192-3717",
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"PracticeLocationAddressTelephoneNumber": "847-645-1194",
"PracticeLocationAddressFaxNumber": "847-645-1184",
"EnumerationDate": "06/17/2011",
"LastUpdateDate": "06/17/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SONI",
"AuthorizedOfficialFirstName": "PINAL",
"AuthorizedOfficialMiddleName": "G",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "847-645-1194",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacist",
"LicenseNumber": "051291009",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}