Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Thibodeaux, PHARMD

Individual provider Pharmacist · NPI 1861735953

Logan Thibodeaux, PHARMD is a Pharmacist in Jacksonville, Florida. Licensed in Louisiana. Registered with an NPI since 2013.

Licensed in
LA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

655 W 8th St
Jacksonville, FL 32209-6511
Phone: (904) 244-4157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 46240 (LA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 46240 (LA)

Record details

NPI number1861735953
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESJuly 27, 2013
Mailing address151 Fontenot Rd, Opelousas, LA 70570-1845

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