Provider Demographics
NPI:1437591849
Name:RIGGI, LARRY JOSEPH (PHARM D)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:JOSEPH
Last Name:RIGGI
Suffix:
Gender:M
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 1:479 MIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-9722
Mailing Address - Country:US
Mailing Address - Phone:585-944-4883
Mailing Address - Fax:
Practice Address - Street 1:8 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-1312
Practice Address - Country:US
Practice Address - Phone:857-689-5505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist