Organization
HUTCHISON PHARMACIES INC
Active
Other names
FIFTH STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOYAL HUTCHISON (PRES)
(209) 446-2439
Entity
Organization
Contact information
Practice address
1839 S EL DORADO ST, STOCKTON, CA 95206-2025
(209) 466-2439
(209) 466-7204
Mailing address
1839 S EL DORADO ST, STOCKTON, CA 95206-2025
(209) 466-2439
(209) 466-7204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY21900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548339
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHY21900
—
CA
Enumeration date
06/28/2005
Last updated
05/04/2010
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