Provider Demographics
NPI:1275394108
Name:RIGOL PRAT, ARIADNA N/A
Entity type:Individual
Prefix:
First Name:ARIADNA
Middle Name:N/A
Last Name:RIGOL PRAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13935 GARY FISHER TRL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3364
Mailing Address - Country:US
Mailing Address - Phone:703-419-0720
Mailing Address - Fax:
Practice Address - Street 1:2411 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6524
Practice Address - Country:US
Practice Address - Phone:919-788-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist