| Target | |
|
14391 Chantilly Crossing Lane Chantilly VA 20151 | |
| (571) 262-0021 | |
| (571) 306-5082 |
| Full Name | Target |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14391 Chantilly Crossing Lane, Chantilly, Virginia |
| Authorized Official Name and Position | Adam Kowalczyk (PHARMACIST) |
| Authorized Official Contact | 7164325372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Target 14391 Chantilly Crossing Lane Chantilly VA 20151 Ph: (571) 262-0021 | Target 14391 Chantilly Crossing Lane Chantilly VA 20151 Ph: (571) 262-0021 |
| NPI Number | 1841666328 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841666328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0202214327 (Virginia) | Primary |
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