Healthcare Provider Details

I. General information

NPI: 1437193281
Provider Name (Legal Business Name): WIGGINS DRUGS LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 CARTER RD
OWENSBORO KY
42301-2644
US

IV. Provider business mailing address

PO BOX 145
HARTFORD KY
42347-0145
US

V. Phone/Fax

Practice location:
  • Phone: 270-683-7010
  • Fax: 270-683-7342
Mailing address:
  • Phone: 270-298-0259
  • Fax: 270-298-7641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberHME00229
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPO7044
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPO7044
License Number StateKY

VIII. Authorized Official

Name: STEPHEN T WIGGINS
Title or Position: MANAGING PARTNER/OWNER/ADMINISTRATO
Credential:
Phone: 270-298-0259