Individual
CARRIE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
710 S COMMERCIAL ST, HARRISBURG, IL 62946-2346
(618) 252-3059
Mailing address
710 S COMMERCIAL ST, HARRISBURG, IL 62946-2346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288363
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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