Healthcare Provider Details

I. General information

NPI: 1851624597
Provider Name (Legal Business Name): JENNIFER D HUTCHINSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 COLLEGE BLVD SUITE 1000
OVERLAND PARK KS
66210-1845
US

IV. Provider business mailing address

7101 COLLEGE BLVD SUITE 1000
OVERLAND PARK KS
66210-1845
US

V. Phone/Fax

Practice location:
  • Phone: 877-750-9355
  • Fax: 913-322-8497
Mailing address:
  • Phone: 877-750-9355
  • Fax: 913-322-8497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13232
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2003001223
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: