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Individual

CARRIE HAZELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5225
Mailing address
4840 MCCOY AVE, SAN JOSE, CA 95130-2121
(408) 866-8910

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54338
CA

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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