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TARGET PHARMACY T-1060 NPI 1619926854


NPI Information

NPI: 1619926854
Provider Name: TARGET PHARMACY T-1060
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
201 JUNCTION RD
MADISON, WI
ZIP 53717
Phone: (608) 827-9483
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TARGET PHARMACY T-1060 is a clinic center in Madison, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TARGET PHARMACY T-1060 NPI is 1619926854. The provider is registered as an organization entity type.

The provider's business location address is:

201 JUNCTION RD
MADISON, WI
ZIP 53717-615
Phone: (608) 827-9483
Fax: (608) 827-9483

The provider's authorized official is Charlie Lee .
The authorized official title is Pharmacy Team Leader and has the following contact phone number (608) 827-9483.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center8075WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133255700MEDICAIDWISCONSIN
28075OTHERWISCONSINPHARMACY LICENSE NUMBER
35126253OTHERWISCONSINNABP OR NCPDP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.