Organization
CEDAR LAKE PHARMACY
Active
Parent organization
-
Other names
Lee Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
HANG NGUYEN PHARMD (MANAGER)
(228) 276-9009
Entity
Organization
Contact information
Practice address
917 DIVISION ST STE B, BILOXI, MS 39530-3001
(228) 280-8931
(228) 280-8915
Mailing address
921 CEDAR LAKE RD STE F, BILOXI, MS 39532-2126
(228) 280-8931
(228) 280-8915
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007728373
—
MS
01
—
1275986531
NPI
MS
Enumeration date
07/21/2016
Last updated
06/09/2025
Update your record
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