=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104165729
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AARON RIGALI PHARMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2013
-----------------------------------------------------
Last Update Date | 02/01/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11701 S BELCHER RD STE 126
-----------------------------------------------------
City | LARGO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-523-2515
-----------------------------------------------------
Fax | 727-523-2536
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11701 BELCHER RD S STE 126
-----------------------------------------------------
City | LARGO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33773-5117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-324-7197
-----------------------------------------------------
Fax | 727-523-2536
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS045159
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------