Provider Demographics
NPI:1538409842
Name:WRIGHT, JANET KRISTINE (CPHT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:KRISTINE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 CREEKWAY TRL
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:VA
Mailing Address - Zip Code:24148-4821
Mailing Address - Country:US
Mailing Address - Phone:276-666-5964
Mailing Address - Fax:
Practice Address - Street 1:359 CREEKWAY TRL
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:VA
Practice Address - Zip Code:24148-4821
Practice Address - Country:US
Practice Address - Phone:276-666-5964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230015888183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician