Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Keith Darrel Hazely Sr., PHARMACIST

Individual provider Pharmacist · NPI 1720378045

Mr. Keith Darrel Hazely Sr., PHARMACIST is a Pharmacist in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

31700 Van Dyke Ave Ste 190
Warren, MI 48093-7951
Phone: (586) 276-8040
Fax: (586) 276-8039
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302024376 (MI)

Record details

NPI number1720378045
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedApril 8, 2011
Last updated in NPPESApril 8, 2011

Other providers in Warren