| NPI | 1689984031 |
|---|---|
| Doing Business As | CEDAR LAKE PHARMACY LLC. |
| Entity Type | Organization |
| Authorized Contact | THUY NGUYEN PIC 228-396-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2021-02-17 |