Provider Demographics
NPI:1629349162
Name:WRIGHT, WILLIAM DAVID (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PERRY MORRIS SQ
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:25541-1397
Mailing Address - Country:US
Mailing Address - Phone:304-743-4880
Mailing Address - Fax:304-743-3649
Practice Address - Street 1:16 PERRY MORRIS SQ
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WV
Practice Address - Zip Code:25541-1397
Practice Address - Country:US
Practice Address - Phone:304-743-4880
Practice Address - Fax:304-743-3649
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006638183500000X
OHRPH. 03230747183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist