Provider Demographics
NPI:1427170232
Name:WRIGHT, HENRY LARKIN (RPH)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:LARKIN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5214 VILLAGE CREST WAY
Mailing Address - Street 2:APT. 125
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-5005
Mailing Address - Country:US
Mailing Address - Phone:865-363-9388
Mailing Address - Fax:
Practice Address - Street 1:5214 VILLAGE CREST WAY
Practice Address - Street 2:APT. 125
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-5005
Practice Address - Country:US
Practice Address - Phone:865-363-9366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN57761835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support