Provider Demographics
NPI:1174914923
Name:WRIGHT, PATRICK JR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3857 LASALLE DRIVE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-4764
Mailing Address - Country:US
Mailing Address - Phone:757-389-6776
Mailing Address - Fax:
Practice Address - Street 1:3857 LASALLE DRIVE UNIT 104
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-4764
Practice Address - Country:US
Practice Address - Phone:757-389-6776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist