Provider Demographics
NPI:1730072018
Name:MUTCH, ALISHA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:MUTCH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:25 HOPE DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2086
Mailing Address - Country:US
Mailing Address - Phone:717-531-2045
Mailing Address - Fax:717-531-0860
Practice Address - Street 1:25 HOPE DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2086
Practice Address - Country:US
Practice Address - Phone:717-531-2045
Practice Address - Fax:717-531-0860
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4435901835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care