Provider Demographics
NPI:1114431590
Name:BRIGHT PHARMACY INC
Entity Type:Organization
Organization Name:BRIGHT PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-703-8661
Mailing Address - Street 1:899 HIGHWAY 138 W
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-4261
Mailing Address - Country:US
Mailing Address - Phone:770-703-8661
Mailing Address - Fax:
Practice Address - Street 1:899 HIGHWAY 138 W
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4261
Practice Address - Country:US
Practice Address - Phone:770-703-8661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy