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Individual

JULIE ANN HAZEL

Active
Sole proprietor

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
09/11/2025
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