Provider Demographics
NPI:1548355373
Name:WRIGHT, JOANNA (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 HONEYCOMB CIR
Mailing Address - Street 2:
Mailing Address - City:DRIFTWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78619-5706
Mailing Address - Country:US
Mailing Address - Phone:512-847-5739
Mailing Address - Fax:
Practice Address - Street 1:120 JOE WIMBERLEY BLVD
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-5975
Practice Address - Country:US
Practice Address - Phone:512-847-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist