Individual
DR. JILL KATHLEEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
305 HOSPITAL DR, OUTPATIENT ANTICOAGULATION CLINIC, GLEN BURNIE, MD 21061-5805
(410) 787-4675
Mailing address
8710 CAMERON ST, UNIT 1314, SILVER SPRING, MD 20910-3703
(860) 456-8333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209207
VA
183500000X
Pharmacist
Primary
20288
MD
183500000X
Pharmacist
PCT.0011411
CT
183500000X
Pharmacist
PH232982
MA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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