Provider Demographics
NPI:1033292180
Name:WRIGHT, EARL G (RPH)
Entity Type:Individual
Prefix:MR
First Name:EARL
Middle Name:G
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 1:483 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3912
Mailing Address - Country:US
Mailing Address - Phone:706-738-4558
Mailing Address - Fax:706-738-9246
Practice Address - Street 1:483 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-3912
Practice Address - Country:US
Practice Address - Phone:706-738-4558
Practice Address - Fax:706-738-9246
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist