Logan Wakham

NPI #1750994026 in Gallipolis, Ohio

Provider Information

NPI Number: 1750994026
Entity Type: Individual
Name: Logan Wakham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 26, 2020
Last Updated: Aug 22, 2024

Practice Location

Address: 100 JACKSON PIKE
City: Gallipolis
State: Ohio
ZIP Code: 45631-1560
Phone: (740) 446-5937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pharmacist	183500000X	Primary

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