| Target Pharmacy T-1060 | |
|
201 Junction Rd Madison WI 53717-2615 | |
| (608) 827-9483 | |
| (608) 827-9483 |
| Full Name | Target Pharmacy T-1060 |
|---|---|
| Speciality | Clinic/center |
| Location | 201 Junction Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Charlie Lee (PHARMACY TEAM LEADER) |
| Authorized Official Contact | 6088279483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Target Pharmacy T-1060 201 Junction Rd Madison WI 53717-2615 Ph: (608) 827-9483 | Target Pharmacy T-1060 201 Junction Rd Madison WI 53717-2615 Ph: (608) 827-9483 |
| NPI Number | 1619926854 |
|---|---|
| Provider Enumeration Date | 05/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619926854 | NPI | - | NPPES |
| 33255700 | Medicaid | WI | |
| 5126253 | Other | WI | NABP OR NCPDP NUMBER |
| 8075 | Other | WI | PHARMACY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8075 (Wisconsin) | Primary |
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