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General NPI Number Information
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NPI Number | 1326116559
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Entity Type | Organization
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Legal Business Name | WAYNE PHARMACY, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | HWYS 50 & 24 LIBERTY SQUARE
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City | KENANSVILLE
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State | NC
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Zip | 28349-1027
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Country | US
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Telephone | 910-296-2085
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Fax | 910-296-1303
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Provider Business Mailing Address
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Address Line | HWYS 50 & 24 LIBERTY SQUARE PO BOX 1027
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City | KENANSVILLE
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State | NC
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Zip | 28349-1027
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Country | US
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Telephone | 910-296-2085
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Fax | 910-296-1303
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH L WIGGINS
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Credential | RPH
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Telephone | 910-296-2085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00263
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 00263
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 00263
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License Number State | NC
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