Individual
LOGAN SUDBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(402) 481-1111
Mailing address
5255 NW 12TH ST APT 315, LINCOLN, NE 68521-4258
(402) 992-1303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16080
NE
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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