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Individual

LOGAN HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
25 CONLEY RD, COLUMBIA, MO 65201-6477
(573) 442-7706
Mailing address
25 CONLEY RD, COLUMBIA, MO 65201-6477

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014027755
MO

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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