Target Pharmacy

NPI #1205291549 in Dumfries, Virginia

Provider Information

NPI Number: 1205291549
Entity Type: Organization
Organization Name: Target Pharmacy
Primary Specialty: Clinic/Center - VA
Enumeration Date: Dec 30, 2015
Last Updated: Dec 30, 2015

Practice Location

Address: 4310 FORTUNA CENTER PLZ
City: Dumfries
State: Virginia
ZIP Code: 22025-1538
Phone: (703) 586-6133

Authorized Official

Name: DR. ESSTEASE EMILE DOMINGUE, PHARMD
Title: PHARMACIST
Phone: (757) 660-0013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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