Individual
LOGAN PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1632 N FRANKLIN PL APT 205, MILWAUKEE, WI 53202-3272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302418880
MI
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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