Provider Demographics
NPI:1033499587
Name:RIGGLEMAN, TAMARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:
Last Name:RIGGLEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 ODUM LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5015
Mailing Address - Country:US
Mailing Address - Phone:770-861-2688
Mailing Address - Fax:
Practice Address - Street 1:6111 HICKORY FLAT HWY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-7253
Practice Address - Country:US
Practice Address - Phone:770-479-7039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024935183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist