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Individual

LOGAN MICHAEL HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11162 RENNER BLVD, LENEXA, KS 66219-9621
(800) 360-0520
Mailing address
346 MAINE ST, LAWRENCE, KS 66044-1393

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16801
KS
183500000X
Pharmacist
215969
AK

Other

Enumeration date
08/09/2013
Last updated
10/21/2023
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