Individual
ALEXANDRA HAZELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 E PAULDING RD, FORT WAYNE, IN 46816-1223
(260) 456-3429
Mailing address
1701 E PAULDING RD, FORT WAYNE, IN 46816-1223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027904A
IN
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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