| NPI | 1265562656 |
|---|---|
| Doing Business As | WIGGINS FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GARZA Manager 217-709-2364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE007615) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: GA PHRE007615) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-07-30 |