Organization
WIREGRASS DRUGS INC
Active
Other names
Wiregrass Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY C ALLIGOOD (AUTHORIZED OFFICIAL)
(229) 435-4571
Entity
Organization
Contact information
Practice address
430 BROADWAY ST, ASHFORD, AL 36312-0367
(334) 899-3100
(334) 899-3186
Mailing address
PO BOX 72188, ALBANY, GA 31708-2188
(229) 435-4571
(229) 878-4926
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
110190
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054812
—
AL
01
—
1991430
PK
—
Enumeration date
09/05/2006
Last updated
11/08/2023
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