Individual
ASIA BRIANNA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1271 GRAY HWY, MACON, GA 31211-1919
(478) 743-6979
Mailing address
3303 TROTTERS RIDGE TRL, GRAY, GA 31032-3764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034552
GA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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