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1770183733
LOGAN SMOLLA
GALLUP, NM
NPI
1770183733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 16496)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
LOGAN SMOLLA PHARMD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
LOGAN SMOLLA PHARMD
900 BOARDMAN DR APT H82
GALLUP, NM 87301-4749
Phone number: 308-379-2692
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