Individual
MS. BRENDA LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 RED CLOUD RD, LONGMONT, CO 80504-1968
(720) 204-6043
Mailing address
1912 RED CLOUD RD, LONGMONT, CO 80504-1968
(720) 204-6043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11323
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11323
COLORADO PHARMACY LISCENSE NUMBER
CO
Enumeration date
04/25/2014
Last updated
04/25/2014
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