Individual
JUSTIN M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4301 S MAY AVE, OKLAHOMA CITY, OK 73119-3275
(405) 682-6191
(405) 685-9613
Mailing address
4301 S MAY AVE, OKLAHOMA CITY, OK 73119-3275
(405) 682-6191
(405) 685-9613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14846
OK
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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