Organization
WAYNE PHARMACY, INC.
Active
Organization
WAYNE PHARMACY, INC.
Active
Other names
duplin medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L WIGGINS RPH (PRESIDENT)
(910) 296-2085
Entity
Organization
Contact information
Practice address
HWYS 50 & 24 LIBERTY SQUARE, KENANSVILLE, NC 28349-1027
(910) 296-2085
(910) 296-1303
Mailing address
HWYS 50 & 24 LIBERTY SQUARE, PO BOX 1027, KENANSVILLE, NC 28349-1027
(910) 296-2085
(910) 296-1303
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00263
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
00263
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
00263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0485Y
BCBS PROVIDER #
NC
05
—
7702029
—
NC
Enumeration date
12/04/2006
Last updated
09/11/2025
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