Organization
RIGGS DRUG STORE
Active
Organization
RIGGS DRUG STORE
Active
Other names
RIGGS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FANNON PH.D (PRESIDENT/PHARMACY/OWNER)
(423) 562-5235
Entity
Organization
Contact information
Practice address
502 W CENTRAL AVE, LA FOLLETTE, TN 37766-3400
(423) 562-5235
(423) 563-7242
Mailing address
PO BOX 1407, LA FOLLETTE, TN 37766-1407
(423) 562-5235
(423) 566-2212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
593
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094817
PK
—
05
—
3518937
—
TN
Enumeration date
08/10/2006
Last updated
05/01/2017
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