Provider Demographics
NPI:1548582075
Name:BIGGER, DONALD (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:BIGGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-7815
Mailing Address - Country:US
Mailing Address - Phone:803-802-7644
Mailing Address - Fax:803-802-7664
Practice Address - Street 1:1716 PLEASANT RD
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-7815
Practice Address - Country:US
Practice Address - Phone:803-802-7644
Practice Address - Fax:803-802-7664
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC005696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist