Individual
ANNIE M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4398
(814) 534-1433
Mailing address
202 NEWBERRY LN, MORGANTOWN, WV 26505-1078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP458524
PA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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