Tam Of Blackduck Pa
Community/Retail Pharmacy
17 Main St S, Blackduck
Minnesota, 56630-4245
218-835-7740 218-835-7869
Tam Of Blackduck Pa is not a DME supplier for medicare equipments and products.
Tam Of Blackduck Pa is a Community/Retail Pharmacy in Blackduck, Minnesota. It is located at 17 Main St S, Blackduck and it's customer support contact number is 218-835-7740. The authorized person of Tam Of Blackduck Pa is Joseph Moon, RPH who is Owner Pic of the pharmacy and his contact number is 218-835-7740. Active license number of Tam Of Blackduck Pa is 260409 for Community/Retail Pharmacy in Minnesota.
Tam Of Blackduck Pa is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Tam Of Blackduck Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tam Of Blackduck Pa |
| Type: | Community/Retail Pharmacy |
| Location: | 17 Main St S, Blackduck, Minnesota, 56630-4245 |
| Phone: | 218-835-7740 |
| Fax: | 218-835-7869 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Joseph Moon |
| Credentials: | RPH |
| Position: | Owner Pic |
| Contact Number: | 218-835-7740 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1073657011 |
| NPI Enumeration Date: | 15 Feb, 2007 |
| NPI Last Update On: | 15 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tam Of Blackduck Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 260409 | Minnesota | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 163560300 | Medicaid | Minnesota | |
| 2044128 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 280, Blackduck, Minnesota |
| Zip: | 56630-0280 |
| Phone Number: | 218-835-7740 |
Patients can reach Tam Of Blackduck Pa at
17 Main St S, Blackduck, Minnesota or can
call on customer care at 218-835-7740.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.