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NPI Code Detail

MEDICARE: ARIADNA N/A RIGOL PRAT

MEDICARE: ARIADNA N/A RIGOL PRAT
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
1183500000XPharmacist33535NC

General Provider Information

NPI Number : 1275394108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIADNA N/A RIGOL PRAT
Provider Business Mailing Address
First Line : 13935 GARY FISHER TRL
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3364
Country : US
Telephone Number : 703-419-0720
Fax Number :
Provider Business Practice Location Address
First Line : 2411 LANDMARK DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6524
Country : US
Telephone Number : 919-788-4203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2024
Last Update Date : 11/10/2024

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Directions to “ ARIADNA N/A RIGOL PRAT ” Practice Location

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