Individual
DR. RICHARD N LOGAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
406 S MAIN ST, CHARLESTON, MO 63834-1644
(575) 368-3330
(573) 683-3308
Mailing address
406 S MAIN ST, CHARLESTON, MO 63834-1644
(575) 368-3330
(573) 683-3308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29249
MO
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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