Provider Demographics
NPI:1881843308
Name:WRIGHT, PHILIP SCOTT (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:SCOTT
Last Name:WRIGHT
Suffix:
Gender:M
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:PO BOX 3723
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-7723
Mailing Address - Country:US
Mailing Address - Phone:626-437-4562
Mailing Address - Fax:
Practice Address - Street 1:112 E HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-3415
Practice Address - Country:US
Practice Address - Phone:877-820-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 54576183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist