Healthcare Provider Details

I. General information

NPI: 1922945195
Provider Name (Legal Business Name): NICHOLAS D WRIGHT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E H ST
IRON MOUNTAIN MI
49801-4760
US

IV. Provider business mailing address

815 COOLIDGE AVE UNIT 6
NIAGARA WI
54151
US

V. Phone/Fax

Practice location:
  • Phone: 906-774-3300
  • Fax:
Mailing address:
  • Phone: 715-360-6250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302417003
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: