Individual
ANITA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
903 TUCKER RD, GRIMESLAND, NC 27837-9287
(800) 669-6690
(800) 753-8438
Mailing address
749 A SIMPSON STREET, SIMPSON, NC 27879
(800) 669-6690
(800) 753-8438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10580
NC
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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