Individual
BREANNA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
Mailing address
16822 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030701A
IN
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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