Basic Information
| Provider Information | |||||||||
| NPI: | 1407952138 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WRIGHT | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | POE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 430 ROLAND AVE | ||||||||
| Address2: | |||||||||
| City: | OWENTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403591400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024842889 | ||||||||
| FaxNumber: | 5024844680 | ||||||||
| Practice Location | |||||||||
| Address1: | 330 ROLAND AVE | ||||||||
| Address2: | |||||||||
| City: | OWENTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403591502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5024843663 | ||||||||
| FaxNumber: | 5024844680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | 10190 | KY | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
ID Information
| ID | Type | State | Issuer | Description | 10190 | 01 | KY | PHARMACIST LICENSE NUMBER | OTHER |