Healthcare Provider Details

I. General information

NPI: 1689262719
Provider Name (Legal Business Name): DAVID JOSEPH HUTCHINSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

3690 EAST AVE
ROCHESTER NY
14618-3597
US

V. Phone/Fax

Practice location:
  • Phone: 585-899-3831
  • Fax:
Mailing address:
  • Phone: 716-207-7173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number051269
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: