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NPI Code Detail

MEDICARE: MR. JOE WILLIE WRIGHT PHARMACIST

MEDICARE: MR. JOE WILLIE WRIGHT PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16926TX

General Provider Information

NPI Number : 1043594393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOE WILLIE WRIGHT PHARMACIST
Provider Business Mailing Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number :
Provider Business Practice Location Address
First Line : 9329 KATY FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1512
Country : US
Telephone Number : 713-461-3607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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