Target Pharmacy T-1060

LBN: Target Pharmacy T-1060
Target Pharmacy T-1060 is an health care organization with primary practice located at 201 Junction Rd , Madison WI 53717-2615. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Target Pharmacy T-1060 can be contacted via phone (608) 827-9483, or through Lee, Charlie via phone (608) 827-9483.

Contact Information

Primary practice address
201 Junction Rd Madison WI 53717-2615
Phone: (608) 827-9483
Fax: (608) 827-9483
Website:
Map and Directions
Authorized official contact:
Name: Lee, Charlie RPH
Phone: (608) 827-9483

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 8075 Wisconsin

Profile Details

NPI number 1619926854
LBN Legal business name Target Pharmacy T-1060
DBA Doing business as
Authorized official Lee, Charlie RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619926854 NPPES
Wisconsin MEDICAID 33255700
Wisconsin Other 5126253
Wisconsin Other 8075

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