Individual provider · Type 1 NPI

Logan Kelley, PHARM. D

Pharmacist · Vicksburg, MS

NPI number 1033409669 Active

Practice location

2310 Clay St
Vicksburg, MS 39183-3123

Mailing address

107 Ashford Dr Apt 2723
West Monroe, LA 71291-7916

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X010895 (MS)
Pharmacist 183500000X018795 (LA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1033409669

Logan Kelley, PHARM. D's National Provider Identifier is 1033409669, issued on Apr 16, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Vicksburg, MS. The record was last updated on Apr 16, 2011.