Logan Kelley, PHARM D - Pharmacist in Vicksburg, MS

Logan Kelley, PHARM D is a Pharmacist based in Vicksburg, Mississippi. Logan Kelley is licensed to practice in Mississippi (license number 010895) and his current practice location is 2310 Clay St, Vicksburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 661-5856.

NPI number for Logan Kelley is 1033409669 and his current mailing address is 107 Ashford Dr Apt 2723, West Monroe, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033409669.

Contact Information

Logan Kelley, PHARM D
2310 Clay St,
Vicksburg, MS 39183-3123
(601) 661-5856
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLogan Kelley
GenderMale
SpecialityPharmacist
Location2310 Clay St, Vicksburg, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033409669
  • Provider Enumeration Date: 04/16/2011
  • Last Update Date: 04/16/2011

Medical Identifiers

Medical identifiers for Logan Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033409669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 010895 (Mississippi)Primary
183500000XPharmacist 018795 (Louisiana)Secondary

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. Logan Kelley 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 AddressPractice Location Address
Logan Kelley, PHARM D
107 Ashford Dr Apt 2723,
West Monroe, LA 71291-7916

Ph: () -
Logan Kelley, PHARM D
2310 Clay St,
Vicksburg, MS 39183-3123

Ph: (601) 661-5856

Reviews and Comments


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Lisa Wamsley, RPH
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Samantha Coppola,
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Practice Location: 3341 Halls Ferry Rd, Vicksburg, MS 39180
Phone: 601-661-9340    

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