Provider Demographics
NPI:1710744743
Name:WRIGHT, SONJA ALESA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:ALESA
Last Name:WRIGHT
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 1:1143 S PLYMOUTH CT APT 311
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2041
Mailing Address - Country:US
Mailing Address - Phone:312-213-1724
Mailing Address - Fax:
Practice Address - Street 1:1143 S PLYMOUTH CT APT 311
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2041
Practice Address - Country:US
Practice Address - Phone:312-213-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051038156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist