Individual
LOGAN HOLLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 W 79TH ST, BLOOMINGTON, MN 55431-1250
(952) 888-4677
Mailing address
2555 W 79TH ST, BLOOMINGTON, MN 55431-1250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120837
MN
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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