Provider Demographics
NPI:1033424452
Name:HUTCHINSON, RODNEY RAY (RPH)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:RAY
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 S DAY ST
Mailing Address - Street 2:HEB PHARMACY #414
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5521
Mailing Address - Country:US
Mailing Address - Phone:979-288-0906
Mailing Address - Fax:979-836-9144
Practice Address - Street 1:2508 S DAY ST
Practice Address - Street 2:HEB PHARMACY #414
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5521
Practice Address - Country:US
Practice Address - Phone:979-288-0906
Practice Address - Fax:979-836-9144
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist