Provider Demographics
NPI:1962006205
Name:HUTCHISON, CHELSEA D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:D
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10209 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7985
Mailing Address - Country:US
Mailing Address - Phone:317-271-6598
Mailing Address - Fax:317-735-3660
Practice Address - Street 1:10209 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7985
Practice Address - Country:US
Practice Address - Phone:317-271-6598
Practice Address - Fax:317-735-3660
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025845A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist