MRS. Paula Renee Logue

NPI #1780906958 in Clive, Iowa

Provider Information

NPI Number: 1780906958
Entity Type: Individual
Name: MRS. Paula Renee Logue
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 15, 2010
Last Updated: Feb 15, 2010

Practice Location

Address: 10331 UNIVERSITY AVE
City: Clive
State: Iowa
ZIP Code: 50325-6472
Phone: (515) 225-2694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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