Individual
LOGAN SAMUEL KRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 BROAD ST, LYNDONVILLE, VT 05851-8623
(802) 626-4366
(802) 626-4370
Mailing address
412 BROAD ST, LYNDONVILLE, VT 05851-8623
(802) 626-4366
(802) 626-4370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134823
VT
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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