Individual
LOGAN ALEXANDER SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
432 BARLEY CT, BRIDGEPORT, WV 26330-6216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0014307
WV
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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