Provider Demographics
NPI:1689285082
Name:LOGAN & SEILER INC
Entity Type:Organization
Organization Name:LOGAN & SEILER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:573-683-3307
Mailing Address - Street 1:406 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63834-1644
Mailing Address - Country:US
Mailing Address - Phone:573-683-3307
Mailing Address - Fax:573-683-3308
Practice Address - Street 1:102 HOSPITALITY DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801
Practice Address - Country:US
Practice Address - Phone:573-838-2700
Practice Address - Fax:573-838-2701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOGAN & SEILER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-11
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy