Logan Bates, RPh
Pharmacist in Waverly, OH. Individual provider (NPI-1).
NPI number1053980979
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1053980979
- Entity type
- Individual (NPI-1)
- Name
- Logan Bates
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03440676 | OH | Yes |
Practice location
501 E Emmitt AveWaverly, OH 45690-1206
Phone 740-941-3017
Mailing address
501 E Emmitt AveWaverly, OH 45690-1206
Phone 740-941-3017
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Pharmacist providers in Waverly · All 759 providers in Waverly
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