Provider Demographics
NPI:1609198506
Name:HATTON, REGINA ELIZABETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:ELIZABETH
Last Name:HATTON
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 1:148 RHINEGARTEN DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8611
Mailing Address - Country:US
Mailing Address - Phone:314-662-2772
Mailing Address - Fax:
Practice Address - Street 1:14515 N OUTER 40 RD STE 350
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5738
Practice Address - Country:US
Practice Address - Phone:314-356-2943
Practice Address - Fax:314-558-2641
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290112183500000X
MO2004032894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist