Jean L Dutra, RPH
Pharmacist in Mescalero, NM. Individual provider (NPI-1).
NPI number1124127501
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124127501
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jean L Dutra
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 4480 | NM | Yes |
| 183500000X | Pharmacist | 029534 | MO |
Other names
- Jean D Hickey (Former Name)
Practice location
318 Abalone LoopMescalero Ludian Hospital
Mescalero, NM 88340-0210
Phone 505-464-4441 · Fax 505-464-4422
Mailing address
3727 Driftwood AveAlamogordo, NM 88310-3727
Phone 505-437-6162
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist providers in Mescalero, NM
- Aaron Contreras, PHARMDNPI 1679401442
- Jiali HeNPI 1639643232
- Marjorie HogueNPI 1487030755
- Michelle Lin, PHARMDNPI 1790440824
- John Lawrence Sickman, PHARM. D.NPI 1841377306
All 6 Pharmacist providers in Mescalero · All 86 providers in Mescalero
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