Provider Demographics
NPI:1962782425
Name:WRIGHT, DONNA (RPH)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 NATIONAL RD E
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-3643
Mailing Address - Country:US
Mailing Address - Phone:765-935-2760
Mailing Address - Fax:765-966-1519
Practice Address - Street 1:3700 NATIONAL RD E
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-3643
Practice Address - Country:US
Practice Address - Phone:765-935-2760
Practice Address - Fax:765-966-1519
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26015230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist