Individual
PRISCILLA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 LANDRUM CT, APT 303, PARKVILLE, MD 21234-1754
(410) 426-1855
Mailing address
1 LANDRUM CT, APT 303, PARKVILLE, MD 21234-1754
(410) 426-1855
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T04757
MD
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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