Organization
CYREENE
Active
Other names
Cyreene Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC AIDOO RPH (LEAD PHARMACIST/OWNER)
(301) 481-9928
Entity
Organization
Contact information
Practice address
25805 POINT LOOKOUT RD STE C, LEONARDTOWN, MD 20650-2038
(240) 309-4101
(240) 309-4151
Mailing address
25805 POINT LOOKOUT RD STE C, LEONARDTOWN, MD 20650-2038
(240) 309-4101
(240) 309-4151
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692176100
—
MD
Enumeration date
02/28/2021
Last updated
03/01/2021
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