Provider Demographics
NPI:1023067808
Name:KUTSCHER, ERIC CHON (PHARMD, MBA, FASHP)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHON
Last Name:KUTSCHER
Suffix:
Gender:M
Credentials:PHARMD, MBA, FASHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13155 N BOOMING DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6793
Mailing Address - Country:US
Mailing Address - Phone:605-261-8018
Mailing Address - Fax:
Practice Address - Street 1:1430 E FORT LOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2365
Practice Address - Country:US
Practice Address - Phone:520-585-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010193091835P1300X
SDR52451835P1300X
AZS0200811835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric