Provider Demographics
NPI:1508515073
Name:WRIGHT, SHELBY (PHARM D)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 ANTELOPE LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3863
Mailing Address - Country:US
Mailing Address - Phone:850-712-3006
Mailing Address - Fax:
Practice Address - Street 1:3309 ANTELOPE LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3863
Practice Address - Country:US
Practice Address - Phone:850-712-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-83529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist