Most Relevant Information
Provider Data
| NPI Number: | 1003590142 |
| Provider Name: | LOGAN SMITH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS65680 |
Most Important Dates
| Enumeration Date: | 06/09/2023 |
| Last Updated: | 06/09/2023 |
Provider Practice Location
655 W 8TH ST
JACKSONVILLE
FL
322096511
Practice Location Phone/Fax
| Phone: | 4783875570 |
| Fax: |
Provider Mailing Location
154 COMMODORE DR NW
MILLEDGEVILLE
GA
310619446
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |