| NPI | 1114539756 |
|---|---|
| Former Name | LOGAN MEREDITH HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 44253) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021814) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-05-10 |