Individual
ANTHONY JAMES LOOGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3019 FLOYD AVE, MODESTO, CA 95355
(209) 551-4867
Mailing address
1549 MICHELE WAY, ESCALON, CA 95320-9571
(209) 918-2864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79652
CA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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