Individual provider · Type 1 NPI

Logan Thibodeaux, PharmD

Pharmacist · Jacksonville, FL

NPI number 1861735953 Active

Practice location

655 W 8th St
Jacksonville, FL 32209-6511

Mailing address

151 Fontenot Rd
Opelousas, LA 70570-1845

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X46240 (LA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X46240 (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 1861735953

Logan Thibodeaux, PharmD's National Provider Identifier is 1861735953, issued on Mar 27, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 27, 2013.