Organization
RIGGS COMMUNITY HEALTH CENTER PHARMACY, LLC
Active
Organization
RIGGS COMMUNITY HEALTH CENTER PHARMACY, LLC
Active
Parent organization
RIGGS COMMUNITY HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIGGS COMMUNITY HEALTH CENTER INC
Authorized official
DR. BAMBI MCQUADE-JONES DNP, FNP-BC (PRESIDENT AND CEO)
(765) 742-1567
Entity
Organization
Contact information
Practice address
1716 HARTFORD ST, STE 100, LAFAYETTE, IN 47904
(657) 663-0200
Mailing address
1716 HARTFORD ST, STE 100, LAFAYETTE, IN 47904
(765) 663-0200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60006913A
IN STATE LICENSE
IN
01
—
60006913B
IN STATE LICENSE
IN
Enumeration date
12/12/2023
Last updated
02/14/2024
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