Provider Demographics
NPI:1821644253
Name:HATCHER, CRAIG WESLEY (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:WESLEY
Last Name:HATCHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 N. PENNSYLVANIA AVE.
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MD
Mailing Address - Zip Code:21750
Mailing Address - Country:US
Mailing Address - Phone:301-678-2930
Mailing Address - Fax:301-678-2932
Practice Address - Street 1:343 N. PENNSYLVANIA AVE.
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MD
Practice Address - Zip Code:21750
Practice Address - Country:US
Practice Address - Phone:301-678-2930
Practice Address - Fax:301-678-2932
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17715183500000X
VA202212345183500000X
WV5228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist