# CEDAR LANE PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518432376
- **Authorized official:** PHYLLIS MUIR RPH (PHARMACY MANAGER)
- **Authorized official phone:** (301) 475-2025

## Contact information

- **Practice address:** 22650 CEDAR LANE COURT, LEONARDTOWN, MD 20650
- **Practice address phone:** (240) 270-3222
- **Mailing address:** 22650 CEDAR LANE COURT, LEONARDTOWN, MD 20650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2018
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 141476300 | — | MD |
| 01 | — | P07947 | MARYLAND BOARD OF PHARMACY | MD |