Provider Demographics
NPI:1912206327
Name:TRYGSTAD, TROY K (PHARMD)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:K
Last Name:TRYGSTAD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 KENILWORTH PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-1146
Mailing Address - Country:US
Mailing Address - Phone:919-260-5241
Mailing Address - Fax:
Practice Address - Street 1:2300 REXWOODS DR STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-3361
Practice Address - Country:US
Practice Address - Phone:919-260-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist