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1255643409
LANCE GRERGORY LOGAN
AUSTIN, TX
NPI
1255643409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 47303)
Enumeration Date
2010-07-04
Last Update Date
2010-07-04
Business Address
Mr. LANCE GRERGORY LOGAN PharmD
5600 S 1ST ST
AUSTIN, TX 78745-3108
Phone number: 512-441-4747
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Mailing Address
Mr. LANCE GRERGORY LOGAN PharmD
3809 S CONGRESS AVE APT 248
AUSTIN, TX 78704-8024
Phone number: 512-924-3216
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