| NPI | 1457246506 |
|---|---|
| Former Legal Business Name | LUNAR NUTRITION, INC. |
| Entity Type | Organization |
| Authorized Contact | ANNA BREZHNEVA President 406-296-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335G00000X Medical Foods Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |