IndividualActive
Brad Hargrove
NPI 1629505219 · Pharmacist · Logan, OH
Provider details
- NPI number
- 1629505219
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 03328943 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
31550 Chieftain Dr
Logan, OH 43138-9087
Phone: (740) 380-2041
Approximate (ZIP-level) locationGet directions
Mailing address
31550 Chieftain Dr
Logan, OH 43138-9087
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.