| NPI | 1447497953 |
|---|---|
| Doing Business As | LAKE CEDAR PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | SAIDA MOHAMED Pharmacist In Charge 612-987-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263276) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2022-11-01 |