Individual provider · Type 1 NPI
Keith Darrel Hazely Sr., PHARMACIST
Pharmacist · Warren, MI
Practice location
31700 Van Dyke Ave Ste 190
Warren, MI 48093-7951
Fax (586) 276-8039
Mailing address
13701 Van Dyke Suite 190
Warren, MI 48093-7951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 5302024376 (MI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1720378045
Keith Darrel Hazely Sr., PHARMACIST's National Provider Identifier is 1720378045, issued on Apr 8, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Warren, MI. The record was last updated on Apr 8, 2011.