Provider Demographics
NPI:1003934738
Name:HUTTCO INC
Entity Type:Organization
Organization Name:HUTTCO INC
Other - Org Name:CHAPEL HILL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:HUTTMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-747-1500
Mailing Address - Street 1:443 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5036
Mailing Address - Country:US
Mailing Address - Phone:732-747-1500
Mailing Address - Fax:732-747-7819
Practice Address - Street 1:443 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5036
Practice Address - Country:US
Practice Address - Phone:732-747-1500
Practice Address - Fax:732-747-7819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02175000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0090026Medicaid
NJ3193125OtherNCPDP
NJ5533600001Medicare ID - Type Unspecified