Individual
ORY BRAD HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
152 S 4TH ST, MONTPELIER, ID 83254-1538
(208) 847-2108
(208) 847-2109
Mailing address
517 W 100 N STE 210, PROVIDENCE, UT 84332-9826
(435) 755-6061
(435) 994-9862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7792431
UT
183500000X
Pharmacist
P8488
ID
183500000X
Pharmacist
Primary
PR55676
ID
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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