Provider Demographics
NPI:1528870516
Name:WEDDS ENTERPRISES INC
Entity type:Organization
Organization Name:WEDDS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-433-0555
Mailing Address - Street 1:533 HAMBLEY BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3709
Mailing Address - Country:US
Mailing Address - Phone:606-433-0555
Mailing Address - Fax:606-433-0163
Practice Address - Street 1:533 HAMBLEY BLVD STE 6
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3709
Practice Address - Country:US
Practice Address - Phone:606-433-0555
Practice Address - Fax:606-433-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54030291Medicaid