Individual
DR. SUZANNE TUDOR WIGGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2155 PAUL JONES WAY, LEXINGTON, KY 40509-2220
(859) 264-3010
(859) 264-3065
Mailing address
2155 PAUL JONES WAY, LEXINGTON, KY 40509-2220
(859) 264-3010
(859) 264-3065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011166
KY
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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