Individual
LOGAN MOUGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-6111
Mailing address
600 GRANDVIEW CT APT 629, IOWA CITY, IA 52246-3250
(563) 449-4537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24251
IA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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