Nichelle M Logan, PHARMD is a
Pharmacist - Ambulatory Care based in Radnor, Pennsylvania. Nichelle M Logan is licensed to practice in Pennsylvania (license number RP453983) and her current practice location is
250 King Of Prussia Rd, Radnor, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 624-5417.
NPI number for Nichelle M Logan is 1255972956 and her current mailing address is 250 King Of Prussia Rd, Radnor, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255972956.
Healthcare Provider's Profile
Full Name | Nichelle M Logan |
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Gender | Female |
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Speciality | Pharmacist - Ambulatory Care |
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Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255972956
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Nichelle M Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255972956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P2201X | Pharmacist - Ambulatory Care | RP453983 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichelle M Logan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nichelle M Logan, PHARMD 250 King Of Prussia Rd, Radnor, PA 19087-5227 Ph: (614) 403-7292 | Nichelle M Logan, PHARMD 250 King Of Prussia Rd, Radnor, PA 19087-5227 Ph: (267) 624-5417 |
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