Provider Demographics
NPI:1881303378
Name:COX, LOGAN MICHAEL (PHARM-D)
Entity type:Individual
Prefix:DR
First Name:LOGAN
Middle Name:MICHAEL
Last Name:COX
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 GARFIELD AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101
Mailing Address - Country:US
Mailing Address - Phone:304-893-9100
Mailing Address - Fax:304-893-9103
Practice Address - Street 1:2012 GARFIELD AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101
Practice Address - Country:US
Practice Address - Phone:304-893-9100
Practice Address - Fax:304-893-9103
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP00013254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist