Provider Demographics
NPI:1700273885
Name:RIGSBY WELLNESS AND COMPOUNDING INCORPORATED
Entity Type:Organization
Organization Name:RIGSBY WELLNESS AND COMPOUNDING INCORPORATED
Other - Org Name:HUNTSVILLE COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:RIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-425-0123
Mailing Address - Street 1:800 DR JOSEPH E LOWERY BLVD SW STE D
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4426
Mailing Address - Country:US
Mailing Address - Phone:256-425-0123
Mailing Address - Fax:256-425-0195
Practice Address - Street 1:800 DR JOSEPH E LOWERY BLVD SW STE D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4426
Practice Address - Country:US
Practice Address - Phone:256-425-0123
Practice Address - Fax:256-425-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1144713336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy