Healthcare Provider Details

I. General information

NPI: 1265717342
Provider Name (Legal Business Name): NATALIE R LOGSDON PHARM.D., BCGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2011
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1054 NEW HOLLAND AVE
LANCASTER PA
17601-5606
US

IV. Provider business mailing address

1054 NEW HOLLAND AVE # DRD
LANCASTER PA
17601-5606
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-9811
  • Fax:
Mailing address:
  • Phone: 717-393-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202210657
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP0007813
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number20213
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP446319
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: