Individual
LOGAN PRUDHOMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
184 OLD WINNFIELD RD, JONESBORO, LA 71251-5902
(318) 259-6694
Mailing address
184 OLD WINNFIELD RD, JONESBORO, LA 71251-5902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024410
LA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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