Healthcare Provider Details

I. General information

NPI: 1881723237
Provider Name (Legal Business Name): RICHARD JOHN PAZIN SR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13892 QUILL DR
SHELBY TOWNSHIP MI
48315-4844
US

IV. Provider business mailing address

13892 QUILL DR
SHELBY TOWNSHIP MI
48315-4844
US

V. Phone/Fax

Practice location:
  • Phone: 586-532-8509
  • Fax: 586-532-8510
Mailing address:
  • Phone: 586-532-8509
  • Fax: 586-532-8510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302018351
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: