Individual
LOGAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2859 FAIRLANE DR, ATLANTA, GA 30340-3229
(478) 952-5923
Mailing address
118 COUNTRY LN, KATHLEEN, GA 31047-2541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035632
GA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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