Provider Demographics
NPI:1083797062
Name:DURDEN & RIGGS PHARMACY
Entity Type:Organization
Organization Name:DURDEN & RIGGS PHARMACY
Other - Org Name:RIGGS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:1912-764-5613
Mailing Address - Street 1:17 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-5315
Mailing Address - Country:US
Mailing Address - Phone:912-764-5613
Mailing Address - Fax:912-764-6210
Practice Address - Street 1:17 W MAIN ST
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-5315
Practice Address - Country:US
Practice Address - Phone:912-764-5613
Practice Address - Fax:912-764-6210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002899183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1316180001Medicare NSC