Individual
LOGAN HUNTER PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2500 N MAIN ST, ALTUS, OK 73521-1600
(580) 482-8466
Mailing address
2500 N MAIN ST, ALTUS, OK 73521-1600
(580) 482-8466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18470
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18470
OKLAHOMA PHARMACIST LICENSE
OK
Enumeration date
10/24/2019
Last updated
10/24/2019
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