MEDICARE: DR. ROBERT W HUTCHISON JR. PHARM.D.

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
1	183500000X	Pharmacist	29391	TX
2	1835P1200X	Pharmacotherapy Pharmacist	29391	TX
3	1835G0303X	Geriatric Pharmacist	29391	TX
4	1835N1003X	Nutrition Support Pharmacist	29391	TX
5	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	29391	TX
6	1835P1300X	Psychiatric Pharmacist	29391	TX

General Provider Information

NPI Number	:	1184608234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT W HUTCHISON JR. PHARM.D.

Provider Business Mailing Address
First Line	:	4740 JOHNSON CREEK LOOP
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-3889
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 SRPH ADMINISTRATION BUILDING
Second Line	:	MS 1266
City	:	COLLEGE STATION
State	:	TX
Zip	:	77843-0001
Country	:	US
Telephone Number	:	979-845-4664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	02/08/2012

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