Provider Demographics
NPI:1942319025
Name:HUTCHISON, PENNY RENEE (RPH)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:RENEE
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PENNY
Other - Middle Name:RENEE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1833 SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-6153
Mailing Address - Country:US
Mailing Address - Phone:334-312-3822
Mailing Address - Fax:
Practice Address - Street 1:3625 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1842
Practice Address - Country:US
Practice Address - Phone:334-285-8336
Practice Address - Fax:334-285-5298
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10886OtherSTATE LICENSE NUMBER