Michael Logan, RPH

NPI #1811037658 in Calimesa, California

Provider Information

NPI Number: 1811037658
Entity Type: Individual
Name: Michael Logan, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 8, 2007
Last Updated: Jun 5, 2009

Practice Location

Address: 1151 CALIMESA BLVD
City: Calimesa
State: California
ZIP Code: 92320-1549
Phone: (909) 795-2457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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