Organization
WAYNE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WIGGINS JR. (COPRPORATION PRESIDENT)
(919) 735-6936
Entity
Organization
Contact information
Practice address
2302 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1726
(919) 735-6936
(919) 735-1109
Mailing address
2302 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1726
(919) 735-6936
(919) 735-1109
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12912
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965046
—
NC
Enumeration date
08/01/2016
Last updated
08/01/2016
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