Organization
WIGGINS DRUGS LIMITED
Active
Other names
King Drug & Home Care - Hartford
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WIGGINS (MANAGING PARTNER/OWNER/ADMINISTRATO)
(270) 298-0259
Entity
Organization
Contact information
Practice address
1014 S MAIN ST, HARTFORD, KY 42347-1830
(270) 298-3278
(270) 298-3290
Mailing address
PO BOX 145, HARTFORD, KY 42347-0145
(270) 298-0259
(270) 298-7641
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME00228
KY
332B00000X
Durable Medical Equipment & Medical Supplies
PO7045
KY
333600000X
Pharmacy
P07045
KY
3336C0003X
Community/Retail Pharmacy
PO7045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805095
NCPDP
KY
01
—
54010707
MEDICAID-PHARMACY
KY
01
—
90013517
MEDICAID-DME
KY
Enumeration date
06/11/2006
Last updated
09/06/2024
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