Individual
LOGAN TATE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
368 S PIKE W, SUMTER, SC 29150-2664
(803) 830-6232
Mailing address
1520A TAYLOR ST, COLUMBIA, SC 29201-2919
(803) 849-1709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43601
SC
Other
Enumeration date
07/13/2022
Last updated
10/11/2023
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