Provider Demographics
NPI:1518033596
Name:HUTCHINSON, HEATHER JO (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:JO
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:WANBLEE HEALTH CENTER
Mailing Address - City:WANBLEE
Mailing Address - State:SD
Mailing Address - Zip Code:57577-0290
Mailing Address - Country:US
Mailing Address - Phone:605-462-6155
Mailing Address - Fax:
Practice Address - Street 1:210 FIRST STREET
Practice Address - Street 2:WANBLEE HEALTH CENTER
Practice Address - City:WANBLEE
Practice Address - State:SD
Practice Address - Zip Code:57577-0290
Practice Address - Country:US
Practice Address - Phone:605-462-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist