Provider Demographics
NPI:1073609806
Name:RIGGS, MELANIE S (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:S
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SUNWARD DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7624
Mailing Address - Country:US
Mailing Address - Phone:702-454-5876
Mailing Address - Fax:
Practice Address - Street 1:350 S. MOAPA VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:OVERTON
Practice Address - State:NV
Practice Address - Zip Code:89040
Practice Address - Country:US
Practice Address - Phone:702-397-2308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist