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1720009400
RANDEL ELLIOTT LOGUE
ATLANTA, GA
NPI
1720009400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH023138)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Dr. RANDEL ELLIOTT LOGUE PharmD
164 W WIEUCA RD NE
ATLANTA, GA 30342-3231
Phone number: 404-255-3022
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Mailing Address
Dr. RANDEL ELLIOTT LOGUE PharmD
164 W WIEUCA RD NE
ATLANTA, GA 30342-3231
Phone number: 404-255-3022
Copy
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