Provider Demographics
NPI:1922190172
Name:LOGAN & SEILER INC.
Entity Type:Organization
Organization Name:LOGAN & SEILER INC.
Other - Org Name:MEDICAL ARTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:573-471-5454
Mailing Address - Street 1:808 E WAKEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-5147
Mailing Address - Country:US
Mailing Address - Phone:573-471-5454
Mailing Address - Fax:
Practice Address - Street 1:808 E WAKEFIELD AVE
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-5147
Practice Address - Country:US
Practice Address - Phone:573-471-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0035433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0301110002Medicare ID - Type Unspecified