Individual
JESSICA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1800 HIGHWAY 45 N, COLUMBUS, MS 39705-2110
(662) 327-6138
(662) 329-9271
Mailing address
1800 HIGHWAY 45 N, COLUMBUS, MS 39705-2110
(662) 327-6138
(662) 329-9271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010450
MS
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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