Healthcare Provider Details

I. General information

NPI: 1184933889
Provider Name (Legal Business Name): DEETTE MARIE WRIGHT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2010
Last Update Date: 09/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PERRY HILL RD
MONTGOMERY AL
36109-3725
US

IV. Provider business mailing address

215 PERRY HILL RD
MONTGOMERY AL
36109-3725
US

V. Phone/Fax

Practice location:
  • Phone: 334-272-4670
  • Fax: 334-260-4133
Mailing address:
  • Phone: 334-272-4670
  • Fax: 334-260-4133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS45320
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17406
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00042383
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS008873
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number36632
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number41102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: