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General NPI Number Information
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NPI Number | 1689707986
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Entity Type | Organization
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Legal Business Name | WIGGINS DRUGS LIMITED
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 W CENTER ST
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City | HARTFORD
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State | KY
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Zip | 42347-1438
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Country | US
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Telephone | 270-298-0259
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Fax | 270-298-7641
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | HARTFORD
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State | KY
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Zip | 42347-0145
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Country | US
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Telephone | 270-298-0259
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Fax | 270-298-7641
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RICHARD HAYDEN
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Credential | PHARMD
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Telephone | 270-298-0259
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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 |
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License Number State |
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