Provider Demographics
NPI:1407229255
Name:IGOU, BRIANA MURRAY (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:MURRAY
Last Name:IGOU
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 1:814 PARNELL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8435
Mailing Address - Country:US
Mailing Address - Phone:912-278-2950
Mailing Address - Fax:
Practice Address - Street 1:8921 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6367
Practice Address - Country:US
Practice Address - Phone:803-736-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36397183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist