Provider Demographics
NPI:1053745356
Name:SARGENT, HUTSON BRANT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUTSON
Middle Name:BRANT
Last Name:SARGENT
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 1:1334 CHRISTY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2039
Mailing Address - Country:US
Mailing Address - Phone:256-436-0748
Mailing Address - Fax:
Practice Address - Street 1:4838 POPLAR LEVEL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-2904
Practice Address - Country:US
Practice Address - Phone:502-969-1695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist