Provider Demographics
NPI:1114149424
Name:HUTCHINSON, STEVEN RENE' (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RENE'
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 1:1905 ACACIA CT
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-4285
Mailing Address - Country:US
Mailing Address - Phone:707-498-5431
Mailing Address - Fax:707-839-2889
Practice Address - Street 1:1905 ACACIA CT
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-4285
Practice Address - Country:US
Practice Address - Phone:707-498-5431
Practice Address - Fax:707-839-2889
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH28201183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH28201OtherREGISTERED PHARMACIST