Organization
S&R DRUG COMPANY
Active
Other names
S AND R PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD E WIGGINS PHARMACIST (OWNER/PIC)
(409) 423-2215
Entity
Organization
Contact information
Practice address
1606 S MARGARET AVE, KIRBYVILLE, TX 75956-2633
(409) 423-2215
(409) 423-2267
Mailing address
1606 S MARGARET AVE, KIRBYVILLE, TX 75956-2633
(409) 423-2215
(409) 423-2267
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25171
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145759
—
TX
05
—
148292
—
TX
01
—
2103251
PK
—
Enumeration date
08/31/2006
Last updated
06/15/2020
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