Provider Demographics
NPI:1558496091
Name:WRIGHT, KIMBERLY HATCHER (RPH)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:HATCHER
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 ANDERSON HWY
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23040-2524
Mailing Address - Country:US
Mailing Address - Phone:804-492-4325
Mailing Address - Fax:804-492-9384
Practice Address - Street 1:1756 ANDERSON HWY
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:VA
Practice Address - Zip Code:23040-2524
Practice Address - Country:US
Practice Address - Phone:804-492-4325
Practice Address - Fax:804-492-9384
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist