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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
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