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NPI Code Detail

MEDICARE: MR. RODNEY RAY HUTCHINSON R.PH.

MEDICARE: MR. RODNEY RAY HUTCHINSON R.PH.
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
1183500000XPharmacist23999TX

General Provider Information

NPI Number : 1033424452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RODNEY RAY HUTCHINSON R.PH.
Provider Business Mailing Address
First Line : 2508 S DAY ST
Second Line : HEB PHARMACY #414
City : BRENHAM
State : TX
Zip : 77833-5521
Country : US
Telephone Number : 979-288-0906
Fax Number : 979-836-9144
Provider Business Practice Location Address
First Line : 2508 S DAY ST
Second Line : HEB PHARMACY #414
City : BRENHAM
State : TX
Zip : 77833-5521
Country : US
Telephone Number : 979-288-0906
Fax Number : 979-836-9144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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