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General NPI Number Information
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NPI Number | 1689285082
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Entity Type | Organization
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Legal Business Name | LOGAN & SEILER INC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 102 HOSPITALITY DRIVE SUITE B
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City | SIKESTON
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State | MO
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Zip | 63801
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Country | US
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Telephone | 573-838-2700
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Fax | 573-838-2701
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Provider Business Mailing Address
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Address Line | 406 S MAIN ST
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City | CHARLESTON
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State | MO
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Zip | 63834-1644
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Country | US
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Telephone | 573-683-3307
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Fax | 573-683-3308
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD N LOGAN
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Credential | PHARMD
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Telephone | 573-683-3307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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