Provider Demographics
NPI:1871240945
Name:WRIGHT, SAMANTHA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
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 1:3758 HIGHWAY 563
Mailing Address - Street 2:
Mailing Address - City:SIMSBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71275-3323
Mailing Address - Country:US
Mailing Address - Phone:318-816-9656
Mailing Address - Fax:
Practice Address - Street 1:3758 HIGHWAY 563
Practice Address - Street 2:
Practice Address - City:SIMSBORO
Practice Address - State:LA
Practice Address - Zip Code:71275-3323
Practice Address - Country:US
Practice Address - Phone:318-816-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAIND-956731835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy