Provider Demographics
NPI:1003188079
Name:WRIGHT, JENNY DELYNNE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:DELYNNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 JOCKEY CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5386
Mailing Address - Country:US
Mailing Address - Phone:502-836-6655
Mailing Address - Fax:270-982-3096
Practice Address - Street 1:550 W DIXIE AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2468
Practice Address - Country:US
Practice Address - Phone:270-982-3088
Practice Address - Fax:270-982-3096
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist