Provider Demographics
NPI:1982829354
Name:HUTCHESON, R. BRYAN (RPH)
Entity Type:Individual
Prefix:
First Name:R. BRYAN
Middle Name:
Last Name:HUTCHESON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 THORNY RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-7712
Mailing Address - Country:US
Mailing Address - Phone:513-934-1456
Mailing Address - Fax:513-228-0803
Practice Address - Street 1:1100 THORNY RIDGE TRL
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-7712
Practice Address - Country:US
Practice Address - Phone:513-934-1456
Practice Address - Fax:513-228-0803
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-15062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist