Provider Demographics
NPI:1326704578
Name:WRIGHT, JARRETT TRISTIAN (PHARMD, MSHIA)
Entity Type:Individual
Prefix:DR
First Name:JARRETT
Middle Name:TRISTIAN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHARMD, MSHIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 LITTLE VALLEY RD APT A
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4375
Mailing Address - Country:US
Mailing Address - Phone:251-458-7957
Mailing Address - Fax:
Practice Address - Street 1:93 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-3653
Practice Address - Country:US
Practice Address - Phone:205-871-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL22212OtherALABAMA BOARD OF PHARMACY