Provider Demographics
NPI:1194289876
Name:HUTCHINGS, NICKOLAS CAMERON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICKOLAS
Middle Name:CAMERON
Last Name:HUTCHINGS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03908-1543
Mailing Address - Country:US
Mailing Address - Phone:207-384-2772
Mailing Address - Fax:
Practice Address - Street 1:289 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03908-1543
Practice Address - Country:US
Practice Address - Phone:207-384-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-26
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-04554208U00000X
MEPR47116208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology