Provider Demographics
NPI:1891343729
Name:HAZLETT, BRANDON THOMAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:THOMAS
Last Name:HAZLETT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-5100
Mailing Address - Country:US
Mailing Address - Phone:828-837-5512
Mailing Address - Fax:828-837-0741
Practice Address - Street 1:1630 ANDREWS RD
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-5100
Practice Address - Country:US
Practice Address - Phone:828-837-5512
Practice Address - Fax:828-837-0741
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42166183500000X
NC28661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist