Provider Demographics
NPI:1902476278
Name:NIGG, BRANDON LOUIS (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:LOUIS
Last Name:NIGG
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1989 PARK ST
Mailing Address - Street 2:
Mailing Address - City:SHELDON
Mailing Address - State:IA
Mailing Address - Zip Code:51201-8535
Mailing Address - Country:US
Mailing Address - Phone:712-324-0020
Mailing Address - Fax:712-324-9802
Practice Address - Street 1:1989 PARK ST
Practice Address - Street 2:
Practice Address - City:SHELDON
Practice Address - State:IA
Practice Address - Zip Code:51201-8535
Practice Address - Country:US
Practice Address - Phone:712-324-0020
Practice Address - Fax:712-324-9802
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist