Provider Demographics
NPI:1538232665
Name:HIGGS, DARREN D (RPH)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:D
Last Name:HIGGS
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 1:915 ELM DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-3804
Mailing Address - Country:US
Mailing Address - Phone:601-441-9194
Mailing Address - Fax:601-736-1514
Practice Address - Street 1:2101 HIGHWAY 13 NORTH
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429
Practice Address - Country:US
Practice Address - Phone:601-736-1515
Practice Address - Fax:601-736-1514
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-8470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist