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Mr. Keith Darrel Hazely SR., PHARMACIST
Pharmacist in Warren, Michigan
NPI 1720378045

Keith Darrel Hazely SR. is a Pharmacist based in Warren, MI. Keith Darrel Hazely SR. practices in Warren, MI and has the professional credentials of PHARMACIST. The NPI Number for Keith Darrel Hazely SR. is 1720378045 and holds a License No. 5302024376 (Michigan).

The current practice location address for Keith Darrel Hazely SR. is 31700 Van Dyke Ave Ste 190, Warren, MI and can be reached out via phone at 586-276-8040 and via fax at 586-276-8039.

Location: 31700 Van Dyke Ave Ste 190, Warren, MI, 48093-7951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720378045
Provider Name
Keith Darrel Hazely SR.
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
31700 Van Dyke Ave Ste 190, Warren, MI, 48093-7951
Phone Number
586-276-8040
Fax Number
586-276-8039
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31700 Van Dyke Ave Ste 190
City
Warren
State
Michigan
Zip
48093-7951
Phone Number
586-276-8040
Fax Number
586-276-8039
person
Provider Business Mailing Address Details
Address
31700 Van Dyke Ave Ste 190
City
Warren
State
Michigan
Zip
48093-7951
Phone Number
586-276-8040
Fax Number
586-276-8039
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302024376 (Michigan)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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