Provider Demographics
NPI:1730463233
Name:WRIGHT, ASHLEY LIDDELL (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LIDDELL
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 1:1293 S AMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7956
Mailing Address - Country:US
Mailing Address - Phone:417-880-3664
Mailing Address - Fax:
Practice Address - Street 1:4062 W REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:BATTLEFIELD
Practice Address - State:MO
Practice Address - Zip Code:65619-7108
Practice Address - Country:US
Practice Address - Phone:417-730-1456
Practice Address - Fax:417-890-0380
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003028223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist