Della C Cutchins, PHARMD

Individual provider Active NPI Pharmacist · Mountain Home, TN

NPI 1457599763 · NPPES record last updated Jan 23, 2009

Key facts

NPI
1457599763
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
012000 (KY)
Practice address
Dogwood Avenue
Building 200
Mountain Home, TN 37684-4000
Phone
(423) 926-1171
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
012000KYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 012000 KY Yes

Addresses

Primary practice location

Dogwood Avenue
Building 200
Mountain Home, TN 37684-4000

Mailing address

PO Box 7000
Mountain Home, TN 37684-4000
Phone (423) 926-1171

Other providers in Mountain Home, TN

All providers in Mountain Home, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.