Individual
DR. RICHARD NORWOOD LOGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
406 S MAIN ST, CHARLESTON, MO 63834-1644
(573) 683-3307
(573) 683-3308
Mailing address
406 S MAIN ST, CHARLESTON, MO 63834-1644
(573) 683-3307
(573) 683-3308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002017947
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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