Individual
DR. LOGAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
12502 HIGHWAY 431, SAINT AMANT, LA 70774-3418
(225) 644-7288
Mailing address
10000 HYDE PL, RIVER RIDGE, LA 70123-1522
(225) 454-9332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023915
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2021
Last updated
04/19/2025
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