Organization
WAYNE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L WIGGINS RPH (PRESIDENT)
(919) 735-6936
Entity
Organization
Contact information
Practice address
2302 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1726
(919) 735-6936
(919) 735-3001
Mailing address
2302 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1726
(919) 735-6936
(919) 735-3001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03033
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
03033
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
03033
NC
333600000X
Pharmacy
03033
NC
3336C0003X
Community/Retail Pharmacy
Primary
03033
NC
3336C0004X
Compounding Pharmacy
03033
NC
3336H0001X
Home Infusion Therapy Pharmacy
03033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04814
PHARMACY BCBS PROVIDER #
NC
05
—
0965046
—
NC
01
—
3401914
NABP #
NC
Enumeration date
11/30/2006
Last updated
10/18/2011
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