Provider Demographics
NPI:1043851009
Name:WRIGHT, MICHAEL A (RPH)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9298 S ELK MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-2314
Mailing Address - Country:US
Mailing Address - Phone:801-280-5804
Mailing Address - Fax:
Practice Address - Street 1:689 N REDWOOD RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-5190
Practice Address - Country:US
Practice Address - Phone:385-374-5480
Practice Address - Fax:385-374-5485
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT271962-17011835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty