| Target | |
|
721 Southpark Blvd Colonial Heights VA 23834-3606 | |
| (804) 520-2280 | |
| (804) 431-3211 |
| Full Name | Target |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 721 Southpark Blvd, Colonial Heights, Virginia |
| Authorized Official Name and Position | Noel Feminella (PHARMACIST IN CHARGE) |
| Authorized Official Contact | 8045202280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Target 721 Southpark Blvd Colonial Heights VA 23834-3606 Ph: (804) 520-2280 | Target 721 Southpark Blvd Colonial Heights VA 23834-3606 Ph: (804) 520-2280 |
| NPI Number | 1942612098 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 05/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612098 | NPI | - | NPPES |
| PS43913 | Other | FL | BOARD OF PHARMACY LICENSE |
| 0202209760 | Other | VA | BOARD OF PHARMACY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0202209760 (Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | PS43913 (Florida) | Primary |
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