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Logan Kissell
NPI 1033737150 · on the registry since 2020 · sole proprietor
Practice
- Address
- 305 W Main St
Ottawa, OH 45875 - Phone
- (419) 523-6030
- Organisation at this address
- Rite Aid Of Ohio Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Community/Retail Pharmacy
3336C0003X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio