| NPI | 1538611447 |
|---|---|
| Doing Business As | HAZEL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAKSUDALI SAIYAD PIC Owner 248-835-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301011038) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-12-18 |