LOGAN SMOLLA

GALLUP, NM
NPI1770183733
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NE  16496)
Enumeration Date2020-10-29
Last Update Date2020-10-29
Business Address
LOGAN SMOLLA PharmD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
LOGAN SMOLLA PharmD
900 BOARDMAN DR APT H82
GALLUP, NM 87301-4749
Phone number: 308-379-2692