Provider Demographics
NPI:1497860662
Name:WRIGHT, ROBERT REID (PHARMD, CGP)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:REID
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29E QUEEN MARY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-2594
Mailing Address - Country:US
Mailing Address - Phone:410-643-5078
Mailing Address - Fax:
Practice Address - Street 1:2001 MEDICAL PKWY
Practice Address - Street 2:DONNER PAVILION, 2ND FLOOR
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-5740
Practice Address - Fax:443-481-5744
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8295183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist