Target

NPI #1093183113 in New Berlin, Wisconsin

Provider Information

NPI Number: 1093183113
Entity Type: Organization
Organization Name: Target
Primary Specialty: Clinic/Center
Enumeration Date: Sep 5, 2015
Last Updated: Sep 5, 2015

Practice Location

Address: 2228 S SANCTUARY DR
City: New Berlin
State: Wisconsin
ZIP Code: 53151-1920
Phone: (630) 272-6256

Authorized Official

Name: DR. AMY MARY FORSSBERG, PHARM.D.
Title: PHARMACIST
Phone: (630) 272-6256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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