| Target | |
| 
					4734 E Ray Rd Phoenix AZ 85044-6225  | |
| (480) 893-0588 | |
| Not Available | 
| Full Name | Target | 
|---|---|
| Speciality | Clinic/center - Community Health | 
| Location | 4734 E Ray Rd, Phoenix, Arizona | 
| Authorized Official Name and Position | Katherine Stein (ETL RX) | 
| Authorized Official Contact | 4808930588 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Target 4732 E Ray Rd Phoenix AZ 85044 Ph: (480) 893-0588  | Target 4734 E Ray Rd Phoenix AZ 85044-6225 Ph: (480) 893-0588  | 
| NPI Number | 1487050589 | 
|---|---|
| Provider Enumeration Date | 11/17/2014 | 
| Last Update Date | 11/17/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487050589 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | S011164 (Arizona) | Primary | 
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