Healthcare Provider Details

I. General information

NPI: 1629636808
Provider Name (Legal Business Name): SHARNETRIA WRIGHT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E MAIN ST
DANVILLE IL
61832-5100
US

IV. Provider business mailing address

1935 S WABASH AVE UNIT 401
CHICAGO IL
60616-2056
US

V. Phone/Fax

Practice location:
  • Phone: 217-554-5383
  • Fax:
Mailing address:
  • Phone: 706-577-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051.300946
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: