Individual
LAURIE LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
683 TENNEY MOUNTAIN HWY, PLYMOUTH, NH 03264-3161
(603) 536-5352
Mailing address
441 N NEPTUNE DR, SATELLITE BEACH, FL 32937-3822
(239) 989-2831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS27291
FL
183500000X
Pharmacist
Primary
R2064
NH
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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