Provider Demographics
NPI:1265701445
Name:HUTCHINSON, NIGEL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NIGEL
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 NW 170TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2041
Mailing Address - Country:US
Mailing Address - Phone:954-895-5896
Mailing Address - Fax:
Practice Address - Street 1:10672 COLONIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8701
Practice Address - Country:US
Practice Address - Phone:239-225-0216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 47513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist