| NPI | 1760790166 |
|---|---|
| Doing Business As | LOGAN PHARMACY AT MOULTON |
| Entity Type | Organization |
| Authorized Contact | RODNEY DALTON LOGAN President 256-974-1770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2013-05-16 |