Provider Demographics
NPI:1881250793
Name:WRIGHT, JOSHUA CLAYTON
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CLAYTON
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9316 LEE ROAD 146
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-8899
Mailing Address - Country:US
Mailing Address - Phone:334-444-9236
Mailing Address - Fax:
Practice Address - Street 1:1055 S EUFAULA AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-2701
Practice Address - Country:US
Practice Address - Phone:334-687-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist