Provider Demographics
NPI:1558494013
Name:TIGNOR, AUDREY RECTOR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:RECTOR
Last Name:TIGNOR
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 1:15754 TRENTON PLACE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8085
Mailing Address - Country:US
Mailing Address - Phone:704-701-1176
Mailing Address - Fax:
Practice Address - Street 1:1250 S CANNON BLVD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6231
Practice Address - Country:US
Practice Address - Phone:704-933-1268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist