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NPI Code Detail

MEDICARE: ALLISON LANIER WRIGHT CPHT

MEDICARE: ALLISON LANIER WRIGHT CPHT
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
1183700000XPharmacy Technician049212441IL

General Provider Information

NPI Number : 1609734789
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LANIER WRIGHT CPHT
Provider Business Mailing Address
First Line : 103 N MITCHELL ST
Second Line :
City : BRACEVILLE
State : IL
Zip : 60407-9801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 N WALL ST
Second Line :
City : KANKAKEE
State : IL
Zip : 60901-2991
Country : US
Telephone Number : 815-933-1671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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