NPI Database
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Contact Information

CYREENE
25805 POINT LOOKOUT RD STE C
LEONARDTOWN, MD20650-2038
 Phone: 240-309-4101
 Fax: 240-309-4151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CYREENE

NPI Number 1417541632
LBN Legal business name CYREENE
Authorized official DOMINIC AIDOO - (LEAD PHARMACIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2021
Last updated 03/01/2021 - About 5 years ago
Identifiers
MD Medicaid 692176100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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