Healthcare Provider Details

I. General information

NPI: 1760217780
Provider Name (Legal Business Name): LOGAN ENGLISH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3971 BRAMBLETON AVE
ROANOKE VA
24018-6402
US

IV. Provider business mailing address

3803 SUNBREEZE CIR
ROANOKE VA
24018-3165
US

V. Phone/Fax

Practice location:
  • Phone: 540-774-0861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202222294
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: