Provider Demographics
NPI:1730762428
Name:HIGLEY, WENDY W (RPH)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:W
Last Name:HIGLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-1697
Mailing Address - Country:US
Mailing Address - Phone:330-497-0645
Mailing Address - Fax:330-497-8402
Practice Address - Street 1:1474 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1697
Practice Address - Country:US
Practice Address - Phone:330-497-0645
Practice Address - Fax:330-497-8402
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03315800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist