Individual
MRS. LANE D WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
13620 HIGHWAY 43 N, NORTHPORT, AL 35475-4411
(205) 333-0678
(205) 333-0924
Mailing address
16800 DEAVOURS DR, NORTHPORT, AL 35475-2690
(205) 330-0971
(205) 333-0924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13081
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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