Target | |
14391 Chantilly Crossing Lane Chantilly VA 20151 | |
(571) 262-0021 | |
(571) 306-5082 |
Full Name | Target |
---|---|
Speciality | Community/behavioral Health |
Location | 14391 Chantilly Crossing Lane, Chantilly, Virginia |
Authorized Official Name and Position | Adam Kowalczyk (PHARMACIST) |
Authorized Official Contact | 7164325372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Target 14391 Chantilly Crossing Lane Chantilly VA 20151 Ph: (571) 262-0021 | Target 14391 Chantilly Crossing Lane Chantilly VA 20151 Ph: (571) 262-0021 |
NPI Number | 1841666328 |
---|---|
Provider Enumeration Date | 08/19/2015 |
Last Update Date | 08/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841666328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0202214327 (Virginia) | Primary |
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