Provider Demographics
NPI:1407065998
Name:WIGGINS, BARBARA S (PHARMD,)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:WIGGINS
Suffix:
Gender:F
Credentials:PHARMD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 BECKENHAM DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9009
Mailing Address - Country:US
Mailing Address - Phone:434-566-1079
Mailing Address - Fax:843-876-5597
Practice Address - Street 1:25 COURTENAY DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8911
Practice Address - Country:US
Practice Address - Phone:843-876-5597
Practice Address - Fax:843-876-5401
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02020116101835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy