Organization
CEDAR LANE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS MUIR RPH (PHARMACY MANAGER)
(301) 475-2025
Entity
Organization
Contact information
Practice address
22650 CEDAR LANE COURT, LEONARDTOWN, MD 20650
(240) 270-3222
Mailing address
22650 CEDAR LANE COURT, LEONARDTOWN, MD 20650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141476300
—
MD
01
—
P07947
MARYLAND BOARD OF PHARMACY
MD
Enumeration date
10/09/2018
Last updated
06/11/2019
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