Provider Demographics
NPI:1881299071
Name:RIGSBY, DARA LEMASTER
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:LEMASTER
Last Name:RIGSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DARA
Other - Middle Name:MICHELLE
Other - Last Name:LEMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:816 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1353
Mailing Address - Country:US
Mailing Address - Phone:606-471-0963
Mailing Address - Fax:
Practice Address - Street 1:429 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1071
Practice Address - Country:US
Practice Address - Phone:606-889-9572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist