Provider Demographics
NPI:1174651657
Name:RIGA, BRIAN P (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:P
Last Name:RIGA
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 1:4805 HARBORD DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3976
Mailing Address - Country:US
Mailing Address - Phone:419-472-4033
Mailing Address - Fax:
Practice Address - Street 1:1510 S. MCCORD RD
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528
Practice Address - Country:US
Practice Address - Phone:419-866-8943
Practice Address - Fax:419-866-2164
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-26642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist