# HUTCHINSON CLINIC P A INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hutchinson Clinic Pharmacy on Main LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437797529
- **Authorized official:** CELESTE Y. ONTJES RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (620) 663-9542

## Contact information

- **Practice address:** 2101 N WALDRON ST STE A, HUTCHINSON, KS 67502-1131
- **Practice address phone:** (620) 663-9542
- **Practice address fax:** (620) 694-4281
- **Mailing address:** 1100 N MAIN ST STE A, HUTCHINSON, KS 67501-4406
- **Mailing address phone:** (620) 669-6600
- **Mailing address fax:** (620) 669-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 07/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003360F | — | KS |