Individual
BRENDA JEANNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-2707
(906) 632-6874
(906) 632-1849
Mailing address
1025 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-2707
(906) 632-6874
(906) 632-1849
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303010235
MI
Other
Enumeration date
06/10/2021
Last updated
06/23/2021
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