MEDICARE: ERIN ELIZABETH HUTSEL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2012025411	MO

General Provider Information

NPI Number	:	1760995120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ELIZABETH HUTSEL PHARMD

Provider Business Mailing Address
First Line	:	10234 MARION PARK DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-1405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10234 MARION PARK DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-1405
Country	:	US
Telephone Number	:	816-446-1065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2017
Last Update Date	:	11/08/2017

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