Individual
DR. JEREMY LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3232 TRI CITY DR, NEWCASTLE, OK 73065-6324
(405) 387-5006
(405) 387-5092
Mailing address
3232 TRI CITY DR, NEWCASTLE, OK 73065-6324
(405) 387-5006
(405) 387-5092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14595
OK
Other
Enumeration date
09/13/2007
Last updated
08/29/2011
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