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1407288673
LOGAN RICHARD FISCUS
BEDFORD, IN
NPI
1407288673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26025080A)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- LOGAN RICHARD FISCUS Pharm.D.
1215 16TH ST
BEDFORD, IN 47421-3706
Phone number: 812-890-3372
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Mailing Address
-- LOGAN RICHARD FISCUS Pharm.D.
1215 16TH ST
BEDFORD, IN 47421-3706
Phone number: 812-890-3372
Copy
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