Provider Demographics
NPI:1710054085
Name:PIDGEON, JUDITH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:PIDGEON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 ANGELINA TER
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5142
Mailing Address - Country:US
Mailing Address - Phone:518-356-4565
Mailing Address - Fax:
Practice Address - Street 1:STRATTON VAMC
Practice Address - Street 2:113 HOLLAND AVENUE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-626-6978
Practice Address - Fax:518-626-5743
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist