Healthcare Provider Details

I. General information

NPI: 1750482519
Provider Name (Legal Business Name): PATRICIA SMALL WRIGHT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 19TH STREET PHARMACY SERVICE (119)
BIRMINGHAM AL
35233
US

IV. Provider business mailing address

185 KENTWOOD DRIVE
ALABASTER AL
35007-5211
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-8101
  • Fax:
Mailing address:
  • Phone: 205-933-8101
  • Fax: 205-558-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number10892
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number12826
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: