Tam of Blackduck PA
Tam of Blackduck PA is a Pharmacy in Blackduck, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17 Main St SBlackduck, MN 56630-4245
Phone: (218) 835-7740
Fax: (218) 835-7869
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 260409 (MN) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1073657011 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Moon — Owner Pic · (218) 835-7740 |
| Other names | Moons Pharmacy |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | March 15, 2017 |
| Mailing address | Po Box 280, Blackduck, MN 56630-0280 |
Other providers in Blackduck
-
Moon's Pharmacy
17 Main St S, Blackduck, MN 56630 · (218) 835-7740