Healthcare Provider Details

I. General information

NPI: 1639281587
Provider Name (Legal Business Name): WRIGHT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 BIGGS LN
SOUTH SHORE KY
41175-7846
US

IV. Provider business mailing address

PO BOX 799
SOUTH SHORE KY
41175-0799
US

V. Phone/Fax

Practice location:
  • Phone: 606-932-2202
  • Fax: 606-932-2080
Mailing address:
  • Phone: 606-932-2202
  • Fax: 606-932-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP06303
License Number StateKY

VIII. Authorized Official

Name: JOSEPH WRIGHT
Title or Position: PRESIDENT,PIC,AO
Credential: RPH
Phone: 606-932-2202