Hazelwood Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

HAZELWOOD PHARMACY LLC

Practice address

624 E 9 Mile Rd Ste C
Hazel Park, MI 48030-1842

Phone

(284) 955-1991

NPI assigned

Apr 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Saed Suede, PHARM D

Title

Owner

Phone

(313) 779-4131

Specialties & licenses 1

Addresses

Other names 1

• Hazelwood Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1770104192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 BRANFORD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD STE C",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "284-955-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELWOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "SUEDE",
        "authorized_official_first_name": "SAED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-779-4131",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazelwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.