Provider Demographics
NPI:1114211984
Name:RIGBY, KRISTIN JOAN (RPH)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JOAN
Last Name:RIGBY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7025 PARK CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6619
Mailing Address - Country:US
Mailing Address - Phone:801-255-2566
Mailing Address - Fax:
Practice Address - Street 1:7025 PARK CENTRE DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-6619
Practice Address - Country:US
Practice Address - Phone:801-255-2566
Practice Address - Fax:801-255-2566
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT03764451719183500000X
PARP044077L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist