Individual
JULIE ANN HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1270 KOT-NUM RD, WARM SPRINGS, OR 97761
(541) 553-2134
(541) 553-2481
Mailing address
267 NE HILLCREST ST, MADRAS, OR 97741-2640
(541) 475-3968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22798
MA
183500000X
Pharmacist
Primary
26019100A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22798
PHARMACIST REGISTRATION
MA
01
—
26019100A
PHARMACY LICENSE
IN
Enumeration date
08/11/2005
Last updated
07/13/2026
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