Michael Logan, RPH Valid NPI

Individual provider · Pharmacist · Calimesa, CA

NPI

1811037658

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

27426 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-08

Last updated

2009-06-05