Individual
LOGAN MINGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4240 SHELBYVILLE RD, LOUISVILLE, KY 40207-3956
(502) 893-0277
Mailing address
4240 SHELBYVILLE RD, LOUISVILLE, KY 40207-3956
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00387413
KY
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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