Whalio Doctors

NPI 1366464018

Target Corporation

Organisation Community/Retail Pharmacy Antioch, TN

Practice location

Address
5330 Cane Ridge Rd, Antioch, TN 37013-3839
Phone
(615) 731-1729
Fax
(615) 932-5271
Mailing address
1000 Nicollet Mall # 1795, Minneapolis, MN 55403-2542

Authorised official

Name
Kimberly Jerome
Title
Hc Enrollment Specialist
Phone
(612) 696-8312

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 3931 (TN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1366464018
Entity type
Organization
NPI issued
24 Jul 2006
Record last updated
2 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.