Healthcare Provider Details

I. General information

NPI: 1780091199
Provider Name (Legal Business Name): AMBER MARTIN HUTCHISON PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER MARIE MARTIN PHARMD, BCPS

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201F WALKER BUILDING
AUBURN UNIVERSITY AL
36849-0001
US

IV. Provider business mailing address

4201F WALKER BUILDING
AUBURN UNIVERSITY AL
36849-0001
US

V. Phone/Fax

Practice location:
  • Phone: 334-844-8401
  • Fax: 334-844-4410
Mailing address:
  • Phone: 334-844-8401
  • Fax: 334-844-4410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number15690
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS43002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: