Organization
WIGGINS DRUGS LIMITED
Active
Other names
King Drug & Home Care-Owensboro
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T WIGGINS (MANAGING PARTNER/OWNER/ADMINISTRATO)
(270) 298-0259
Entity
Organization
Contact information
Practice address
1156 CARTER RD, OWENSBORO, KY 42301-2644
(270) 683-7010
(270) 683-7342
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
HME00229
KY
333600000X
Pharmacy
PO7044
KY
3336C0003X
Community/Retail Pharmacy
Primary
PO7044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1823764
NCPDP
KY
01
—
54010681
MEDICAID - PHARMACY
KY
01
—
90013459
MEDICAID - DME
KY
Enumeration date
06/15/2006
Last updated
02/13/2023
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