MEDICARE: KIMBERLY HATCHER WRIGHT RPH

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
1	183500000X	Pharmacist	0202012503	VA

General Provider Information

NPI Number	:	1558496091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY HATCHER WRIGHT RPH

Provider Business Mailing Address
First Line	:	1756 ANDERSON HWY
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2524
Country	:	US
Telephone Number	:	804-492-4325
Fax Number	:	804-492-9384

Provider Business Practice Location Address
First Line	:	1756 ANDERSON HWY
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2524
Country	:	US
Telephone Number	:	804-492-4325
Fax Number	:	804-492-9384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	01/14/2021

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