Trudi Hazen, PHARMD
Individual provider Active NPI Pharmacist · Syracuse, UT
NPI 1366038895 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1366038895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 328272-1701 (UT)
- Practice address
- 2228 W 1700 S
Syracuse, UT 84075-7126 - Phone
- (801) 775-9880
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328272-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 328272-1701 | UT | Yes |
Addresses
Primary practice location
2228 W 1700 S
Syracuse, UT 84075-7126
Mailing address
1344 W 2050 S
Syracuse, UT 84075-9833
Phone (801) 336-6741
Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.