Healthcare Provider Details

I. General information

NPI: 1730463233
Provider Name (Legal Business Name): ASHLEY LIDDELL WRIGHT PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2011
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 S FLORENCE AVE
SPRINGFIELD MO
65807-1587
US

IV. Provider business mailing address

1293 S AMBER RIDGE DR
NIXA MO
65714-7956
US

V. Phone/Fax

Practice location:
  • Phone: 417-836-4050
  • Fax: 417-836-4086
Mailing address:
  • Phone: 417-880-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2003028223
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: