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NPI Code Detail

MEDICARE: HUTCHISON PHARMACIES INC

MEDICARE: HUTCHISON PHARMACIES INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY21900CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20548339OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1164429700
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUTCHISON PHARMACIES INC
Provider Business Mailing Address
First Line : 1839 S EL DORADO ST
Second Line :
City : STOCKTON
State : CA
Zip : 95206-2025
Country : US
Telephone Number : 209-466-2439
Fax Number : 209-466-7204
Provider Business Practice Location Address
First Line : 1839 S EL DORADO ST
Second Line :
City : STOCKTON
State : CA
Zip : 95206-2025
Country : US
Telephone Number : 209-466-2439
Fax Number : 209-466-7204
Authorized Official
Title or Position : PRES
Name : LOYAL HUTCHISON
Credential :
Telephone Number : 209-446-2439
Provider Enumeration Date : 06/28/2005
Last Update Date : 05/04/2010

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Directions to “HUTCHISON PHARMACIES INC ” Practice Location

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