Provider Demographics
NPI:1629315544
Name:RIGGS, CHARLES SIDNEY (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:SIDNEY
Last Name:RIGGS
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 1:411 GREEN SPRINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4909
Mailing Address - Country:US
Mailing Address - Phone:205-944-1112
Mailing Address - Fax:
Practice Address - Street 1:411 GREEN SPRINGS HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-4909
Practice Address - Country:US
Practice Address - Phone:205-944-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist