Provider Demographics
NPI:1093703464
Name:KUTCHMAN, JUDY ANN (RPH)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ANN
Last Name:KUTCHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 CHURCH DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3487
Mailing Address - Country:US
Mailing Address - Phone:412-859-1101
Mailing Address - Fax:
Practice Address - Street 1:300 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1309
Practice Address - Country:US
Practice Address - Phone:412-505-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP036767L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist