Provider Demographics
NPI:1548924418
Name:WRIGHT, TRUDY FELECIA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRUDY
Middle Name:FELECIA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 JOHNS CREEK PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1285
Mailing Address - Country:US
Mailing Address - Phone:678-417-0122
Mailing Address - Fax:678-417-1687
Practice Address - Street 1:3890 JOHNS CREEK PKWY STE 160
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1285
Practice Address - Country:US
Practice Address - Phone:678-417-0122
Practice Address - Fax:678-417-1687
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA032863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty