MEDICARE: DR. BARBARA S WIGGINS PHARM.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	0202011610	VA

General Provider Information

NPI Number	:	1407065998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA S WIGGINS PHARM.D.,

Provider Business Mailing Address
First Line	:	2228 BECKENHAM DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-9009
Country	:	US
Telephone Number	:	434-566-1079
Fax Number	:	843-876-5597

Provider Business Practice Location Address
First Line	:	25 COURTENAY DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8911
Country	:	US
Telephone Number	:	843-876-5597
Fax Number	:	843-876-5401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	01/29/2021

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