Individual
DR. JACK DAVID WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2501 CAPEHART, ERHLING BERGQUIST HOSPITAL, OFFUTT AFB, NE 68113
(402) 502-2057
Mailing address
2620 DOW DR, BELLEVUE, NE 68123-1736
(402) 294-7358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4645
MT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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