Healthcare Provider Details

I. General information

NPI: 1245417831
Provider Name (Legal Business Name): BRIAN ALEXANDER HEMSTREET PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12631 EAST 17TH AVENUE, ROOM L-15-1417 DEPARTMENT OF CLINICAL PHARMACY, C-238 L-15
AURORA CO
80045-2527
US

IV. Provider business mailing address

12631 EAST 17TH AVENUE, ROOM L-15-1417 DEPARTMENT OF CLINICAL PHARMACY, C-238 L-15
AURORA CO
80045-2527
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-2651
  • Fax:
Mailing address:
  • Phone: 303-724-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044477
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPHA-15909
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: