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Contact Information

MOON'S PHARMACY
17 MAIN ST S
BLACKDUCK, MN56630
 Phone: 218-835-7740
 Fax: 218-835-7869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOON'S PHARMACY

NPI # 1720023252
LBN Legal business name MOON'S PHARMACY
Authorized official JOSEPH MOON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # 2604093
Other 2403652 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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