| NPI | 1144765843 |
|---|---|
| Doing Business As | NEW MOON |
| Entity Type | Organization |
| Authorized Contact | PAMELA HUGHES Manager 218-757-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2018-05-15 |