Provider Demographics
NPI:1639457658
Name:HUTCHINSON, STEPHANIE LYNNE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:LYNNE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:LYNNE
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9500 S IH 35
Mailing Address - Street 2:TARGET 2288
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1752
Mailing Address - Country:US
Mailing Address - Phone:512-687-0635
Mailing Address - Fax:
Practice Address - Street 1:9500 S IH 35
Practice Address - Street 2:TARGET 2288
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1752
Practice Address - Country:US
Practice Address - Phone:512-687-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist