Provider Demographics
NPI:1043292766
Name:HIGGINS, W BRUCE (RPH)
Entity Type:Individual
Prefix:
First Name:W
Middle Name:BRUCE
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 COPE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5355
Mailing Address - Country:US
Mailing Address - Phone:717-766-5499
Mailing Address - Fax:
Practice Address - Street 1:4415 LEWIS RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2541
Practice Address - Country:US
Practice Address - Phone:800-233-7139
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044682L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist