Provider Demographics
NPI:1184211542
Name:HUTCHISON, JAMES DANIEL II (R PH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DANIEL
Last Name:HUTCHISON
Suffix:II
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3073 PETERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-9750
Mailing Address - Country:US
Mailing Address - Phone:317-319-0467
Mailing Address - Fax:
Practice Address - Street 1:1825 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-2698
Practice Address - Country:US
Practice Address - Phone:859-331-0370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03132458183500000X
KY019660183500000X
IN26015589A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist