Provider Demographics
NPI:1649213604
Name:HUTCHINSON, JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 VEGAS DE TAOS
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-4109
Mailing Address - Country:US
Mailing Address - Phone:575-770-2605
Mailing Address - Fax:575-737-3339
Practice Address - Street 1:1397 WEIMER RD
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6284
Practice Address - Country:US
Practice Address - Phone:505-751-5895
Practice Address - Fax:505-751-5837
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPC000000581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy