LOGAN RUSSELL HENDERSON

MARIETTA, GA
NPI1184376212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH028870)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
Dr. LOGAN RUSSELL HENDERSON PharmD
790 CHURCH ST NE STE 210
MARIETTA, GA 30060-8950
Phone number: 770-424-3131
Mailing Address
Dr. LOGAN RUSSELL HENDERSON PharmD
790 CHURCH ST NE STE 210
MARIETTA, GA 30060-8950
Phone number: 770-424-3131