Provider Demographics
NPI:1982853388
Name:HATCHER, ADRIENNE MIGNON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:MIGNON
Last Name:HATCHER
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 1:115 VINE ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:MO
Mailing Address - Zip Code:63552-1654
Mailing Address - Country:US
Mailing Address - Phone:660-385-2167
Mailing Address - Fax:
Practice Address - Street 1:115 VINE ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:MO
Practice Address - Zip Code:63552-1654
Practice Address - Country:US
Practice Address - Phone:660-385-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005021290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist