Provider Demographics
NPI:1295945848
Name:WRIGHT, ROBERT L JR (PD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 STONEBROOK
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342
Mailing Address - Country:US
Mailing Address - Phone:870-338-6464
Mailing Address - Fax:870-338-8407
Practice Address - Street 1:300 PERRY ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-3325
Practice Address - Country:US
Practice Address - Phone:870-338-6464
Practice Address - Fax:870-338-8407
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR100272407Medicaid