Provider Demographics
NPI:1891056156
Name:PIGG, TODD EUGENE
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:EUGENE
Last Name:PIGG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4319
Mailing Address - Country:US
Mailing Address - Phone:704-735-2551
Mailing Address - Fax:704-735-6222
Practice Address - Street 1:2622 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4319
Practice Address - Country:US
Practice Address - Phone:704-735-2551
Practice Address - Fax:704-735-6222
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist