Individual
LOGAN JORNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5434 SOUTHFIELD CTR, SAINT LOUIS, MO 63123-5907
(314) 849-2362
Mailing address
827 RUECK RD, COLUMBIA, IL 62236-1529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023044593
MO
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
About Stedi
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