Organization
HAZLE DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SPEAR (PRESIDENT)
(570) 454-2476
Entity
Organization
Contact information
Practice address
1 E BROAD ST, HAZLETON, PA 18201-6520
(570) 454-2476
(570) 454-4532
Mailing address
1 E BROAD ST, HAZLETON, PA 18201-6520
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP411007L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007606540004
—
PA
01
—
3918173
OTHER ID NUMBER
—
Enumeration date
10/18/2005
Last updated
02/22/2016
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