Healthcare Provider Details

I. General information

NPI: 1801942982
Provider Name (Legal Business Name): AIGNER T GEORGE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CAPITAL MEDICAL BLVD CAPITAL REGIONAL MEDICAL CENTER
TALLAHASSEE FL
32308-2202
US

IV. Provider business mailing address

901 RIGGINS RD APT 525
TALLAHASSEE FL
32308-2202
US

V. Phone/Fax

Practice location:
  • Phone: 850-325-4048
  • Fax:
Mailing address:
  • Phone: 850-878-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS37728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: