<Unavail>

LBN: Cedar Lake Pharmacy
<Unavail> is an health care organization with primary practice located at 921 Cedar Lake Rd Ste F , Biloxi MS 39532-2126. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cedar Lake Pharmacy can be contacted via phone (228) 396-4412, or through Nguyen, Thuy T via phone (228) 396-4412.

Contact Information

Primary practice address
921 Cedar Lake Rd Ste F Biloxi MS 39532-2126
Phone: (228) 396-4412
Fax: (228) 396-4414
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Thuy T
Phone: (228) 396-4412

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Mississippi

Profile Details

NPI number 1689984031
LBN Legal business name Cedar Lake Pharmacy
DBA Doing business as <Unavail>
Authorized official Nguyen, Thuy T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2010
Last updated Jun 13th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689984031 NPPES
Mississippi Other 1689984031 NPI
Mississippi MEDICAID 008773390 NPI

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