Tam of Blackduck PA

NPI #1073657011 in Blackduck, Minnesota

Provider Information

NPI Number
1073657011
Entity Type
Organization
Organization Name
Tam of Blackduck PA
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 15, 2007
Last Updated
Mar 15, 2017

Practice Location

Address
17 MAIN ST S
ZIP Code
56630-4245
Phone
(218) 835-7740

Authorized Official

Name
JOSEPH MOON, RPH
Title
OWNER PIC
Phone
(218) 835-7740

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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