Individual
TRUDI HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2228 W 1700 S, SYRACUSE, UT 84075-7126
(801) 775-9880
Mailing address
1344 W 2050 S, SYRACUSE, UT 84075-9833
(801) 336-6741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
328272-1701
UT
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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