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1588005813
LOGAN JEAN
FAYETTEVILLE, AR
NPI
1588005813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: AR PD12371)
Enumeration Date
2013-07-15
Last Update Date
2019-09-03
Business Address
LOGAN JEAN Pharm.D.
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
LOGAN JEAN Pharm.D.
PO BOX 2429
SMYRNA, TN 37167-1719
Phone number:
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