Individual
DR. JAMES LOGAN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051306442
IL
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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