=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871960187
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY MARIE RIGGS PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2015
-----------------------------------------------------
Last Update Date | 08/24/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 BALLAST LN
-----------------------------------------------------
City | STEWARTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17363-8325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-993-2557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 108 N MARSHVIEW RD
-----------------------------------------------------
City | STEWARTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17363-8295
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-591-9970
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP449972
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------