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Organization
LOGANS DISCOUNT DRUGS INC
Active
Organization
LOGANS DISCOUNT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE LOGAN SR. RPH (PHARMACIST OWNER)
(662) 983-7800
Entity
Organization
Contact information
Practice address
129 SOUTH NEWBERGER, BRUCE, MS 38915-0697
(662) 983-7800
(662) 983-7806
Mailing address
PO BOX 697, 129 SOUTH NEWBERGER, BRUCE, MS 38915-0697
(662) 983-7800
(662) 983-7806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01291011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00440635
MEDICAID DME #
MS
05
—
0330263
—
MS
Enumeration date
10/10/2006
Last updated
08/22/2020
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