Healthcare Provider Details

I. General information

NPI: 1174057897
Provider Name (Legal Business Name): PAIGE ELIZABETH HUTCHISON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MISSION BAY BLVD S
SAN FRANCISCO CA
94143-2156
US

IV. Provider business mailing address

535 MISSION BAY BLVD S
SAN FRANCISCO CA
94143-2156
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2873
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number5302042485
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number63113
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: