MEDICARE: WIGGINS DRUGS LIMITED

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1720892268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIGGINS DRUGS LIMITED

Provider Business Mailing Address
First Line	:	PO BOX 145
Second Line	:
City	:	HARTFORD
State	:	KY
Zip	:	42347-0145
Country	:	US
Telephone Number	:	270-298-0259
Fax Number	:	270-298-7641

Provider Business Practice Location Address
First Line	:	1009 PLEASANT VALLEY RD
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-9619
Country	:	US
Telephone Number	:	270-683-7010
Fax Number	:	270-215-1930

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE THOMAS WIGGINS
Credential	:
Telephone Number	:	270-298-0259

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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