Provider Demographics
NPI:1598432213
Name:RIGGS, BROOKE DANIELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:DANIELLE
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6185 S 319TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-5644
Mailing Address - Country:US
Mailing Address - Phone:806-577-1311
Mailing Address - Fax:
Practice Address - Street 1:6185 S 319TH EAST AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-5644
Practice Address - Country:US
Practice Address - Phone:806-577-1311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist