Provider Demographics
NPI:1093185761
Name:HUTCHESON, SHELLEY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:
Last Name:HUTCHESON
Suffix:
Gender:F
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 1:2975 UNION RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-6023
Mailing Address - Country:US
Mailing Address - Phone:704-867-6957
Mailing Address - Fax:
Practice Address - Street 1:2975 UNION RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-6023
Practice Address - Country:US
Practice Address - Phone:704-867-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist