Individual
DR. SANDRA T LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
914 BEAR LAKE DR, LONGS, SC 29568-8623
(843) 399-7338
(843) 716-7272
Mailing address
914 BEAR LAKE DR, LONGS, SC 29568-8623
(843) 399-7338
(843) 716-7272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15770
NC
183500000X
Pharmacist
Primary
6385
SC
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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