# WIREGRASS DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wiregrass Community Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609634930
- **Authorized official:** TRACY C ALLIGOOD (ACCOUNTING MANAGER)
- **Authorized official phone:** (229) 435-4571

## Contact information

- **Practice address:** 430 BROADWAY ST, ASHFORD, AL 36312
- **Practice address phone:** (334) 899-3100
- **Practice address fax:** (334) 899-3186
- **Mailing address:** PO BOX 72188, ALBANY, GA 31708-2188
- **Mailing address phone:** (229) 435-4571
- **Mailing address fax:** (229) 878-4926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 03/11/2024
