Provider Demographics
NPI:1649528746
Name:WRIGHT, ERIC ANDREW (PHARMD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ANDREW
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4862 MAPLE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-7288
Mailing Address - Country:US
Mailing Address - Phone:479-444-7200
Mailing Address - Fax:479-444-7205
Practice Address - Street 1:1450 E ZION RD
Practice Address - Street 2:STE 1
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5041
Practice Address - Country:US
Practice Address - Phone:479-444-7200
Practice Address - Fax:479-444-7205
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist