Basic Information
Provider Information
NPI: 1265754261
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: JOYANNA
MiddleName: LYNNE
NamePrefix: DR.
NameSuffix:  
Credential: PHARM. D., BCPS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 SW ARCHER RD
Address2: PHARMACY DEPARTMENT
City: GAINESVILLE
State: FL
PostalCode: 326081136
CountryCode: US
TelephoneNumber: 3522650111
FaxNumber: 3522658276
Practice Location
Address1: 2000 SW ARCHER RD
Address2: PHARMACY DEPARTMENT
City: GAINESVILLE
State: FL
PostalCode: 326081136
CountryCode: US
TelephoneNumber: 3522650111
FaxNumber: 3522658276
Other Information
ProviderEnumerationDate: 02/18/2010
LastUpdateDate: 02/18/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P1200XPS 39285FLY Pharmacy Service ProvidersPharmacistPharmacotherapy

No ID Information.


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