MEDICARE: GAIL WIGGINS DREW RPH.

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	183500000X	Pharmacist	6773	NC

General Provider Information

NPI Number	:	1013364827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL WIGGINS DREW RPH.

Provider Business Mailing Address
First Line	:	108 LEAFWOOD DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-8912
Country	:	US
Telephone Number	:	919-738-3518
Fax Number	:	919-735-1109

Provider Business Practice Location Address
First Line	:	2302 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-1726
Country	:	US
Telephone Number	:	919-735-2055
Fax Number	:	919-735-1109

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

Provider Enumeration Date	:	05/22/2016
Last Update Date	:	05/22/2016

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Directions to “ GAIL WIGGINS DREW RPH.” Practice Location

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