Provider Demographics
NPI:1457983520
Name:WRIGHTWAY BEAUTY SUPPLY LLC
Entity Type:Organization
Organization Name:WRIGHTWAY BEAUTY SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANIA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-703-7772
Mailing Address - Street 1:2103 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2262
Mailing Address - Country:US
Mailing Address - Phone:509-703-7772
Mailing Address - Fax:
Practice Address - Street 1:2103 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2262
Practice Address - Country:US
Practice Address - Phone:509-703-7772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies