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Individual

RITA DIANE WIGGINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH, PHARMD, MHA

Contact information

Practice address
600 US 31W BYP STE 12, BOWLING GREEN, KY 42101-4905
(270) 782-0120
Mailing address
732 GREENLAWN AVE, BOWLING GREEN, KY 42103-1608
(270) 791-9148

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
016248
KY
183500000X
Pharmacist
Primary
38062
TN

Other

Enumeration date
02/18/2014
Last updated
10/02/2019
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