Healthcare Provider Details

I. General information

NPI: 1669794293
Provider Name (Legal Business Name): DAVID PIGEON RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 GOLF ACRES DR
CHARLOTTE NC
28208-5990
US

IV. Provider business mailing address

4400 GOLF ACRES DR
CHARLOTTE NC
28208-5990
US

V. Phone/Fax

Practice location:
  • Phone: 704-512-6800
  • Fax: 704-512-6801
Mailing address:
  • Phone: 704-512-6800
  • Fax: 704-512-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14603
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: