Individual
RENEE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. D.
Contact information
Practice address
205 W DE QUEEN AVE., DE QUEEN, AR 71832
(870) 584-3555
(870) 642-7259
Mailing address
205 W DE QUEEN AVE, DE QUEEN, AR 71832
(870) 584-3555
(870) 642-7259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07709
AR
Other
Enumeration date
04/23/2012
Last updated
05/29/2013
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