Individual
NICHELLE M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087-5227
(267) 624-5417
Mailing address
250 KING OF PRUSSIA RD, RADNOR, PA 19087-5227
(614) 403-7292
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP453983
PA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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