Provider Demographics
NPI:1013320928
Name:NEAL, HAZEL DANIELLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HAZEL
Middle Name:DANIELLE
Last Name:NEAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:HAZEL
Other - Middle Name:DANIELLE
Other - Last Name:JUSTICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 MEBANE OAKS RD
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7643
Mailing Address - Country:US
Mailing Address - Phone:919-563-5521
Mailing Address - Fax:919-563-5528
Practice Address - Street 1:801 MEBANE OAKS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7643
Practice Address - Country:US
Practice Address - Phone:919-563-5521
Practice Address - Fax:919-563-5528
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist