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Contact Information

CEDAR LANE PHARMACY
22650 CEDAR LANE COURT
LEONARDTOWN, MD20650
 Phone: 240-270-3222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CEDAR LANE PHARMACY

NPI Number 1518432376
LBN Legal business name CEDAR LANE PHARMACY
Authorized official PHYLLIS MUIR - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2018
Last updated 06/11/2019 - About 7 years ago
Identifiers
MD Medicaid 141476300
MD Other P07947 MARYLAND BOARD OF PHARMACY
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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