Provider Demographics
NPI:1053515759
Name:HATCHER, AMY F (RPH)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:F
Last Name:HATCHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MOCKINGBIRD HILL LN
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411-6009
Mailing Address - Country:US
Mailing Address - Phone:304-258-9292
Mailing Address - Fax:301-678-2932
Practice Address - Street 1:343 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MD
Practice Address - Zip Code:21750-1046
Practice Address - Country:US
Practice Address - Phone:301-678-2930
Practice Address - Fax:301-678-2932
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17854183500000X
WVRP0005529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist