Organization
MOON'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MOON (OWNER)
(218) 835-7740
Entity
Organization
Contact information
Practice address
17 MAIN ST S, BLACKDUCK, MN 56630
(218) 835-7740
(218) 835-7869
Mailing address
PO BOX 280, BLACKDUCK, MN 56630-0280
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2604093
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2403652
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/18/2006
Last updated
09/11/2025
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