Individual
LOGAN VAUGHN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 598-6678
Mailing address
302 AMANDA CT, MARIETTA, PA 17547-9213
(717) 598-6678
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
RP454640
PA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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