Provider Demographics
NPI:1265717342
Name:LOGSDON, NATALIE R (PHARMD, BCGP)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:R
Last Name:LOGSDON
Suffix:
Gender:
Credentials:PHARMD, BCGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 NEW HOLLAND AVE # DRD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5606
Mailing Address - Country:US
Mailing Address - Phone:717-393-9811
Mailing Address - Fax:
Practice Address - Street 1:1054 NEW HOLLAND AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5606
Practice Address - Country:US
Practice Address - Phone:717-393-9811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210657183500000X
WVRP00078131835G0303X
MD202131835G0303X
PARP4463191835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist