MEDICARE: KRISTIN JOAN RIGBY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03764451719	UT
2	183500000X	Pharmacist	RP044077L	PA

General Provider Information

NPI Number	:	1114211984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN JOAN RIGBY RPH

Provider Business Mailing Address
First Line	:	7025 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6619
Country	:	US
Telephone Number	:	801-255-2566
Fax Number	:

Provider Business Practice Location Address
First Line	:	7025 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6619
Country	:	US
Telephone Number	:	801-255-2566
Fax Number	:	801-255-2566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2011
Last Update Date	:	06/16/2011

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