Provider Demographics
NPI:1609470087
Name:BRIGHT, JEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 N BRINDLEE MOUNTAIN PKWY
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5711
Mailing Address - Country:US
Mailing Address - Phone:256-586-6021
Mailing Address - Fax:
Practice Address - Street 1:1204 N BRINDLEE MOUNTAIN PKWY
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5711
Practice Address - Country:US
Practice Address - Phone:256-586-6021
Practice Address - Fax:256-586-1327
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist