Provider Demographics
NPI:1245417831
Name:HEMSTREET, BRIAN ALEXANDER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ALEXANDER
Last Name:HEMSTREET
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 1:12631 EAST 17TH AVENUE, ROOM L-15-1417
Mailing Address - Street 2:DEPARTMENT OF CLINICAL PHARMACY, C-238 L-15
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2527
Mailing Address - Country:US
Mailing Address - Phone:303-724-2651
Mailing Address - Fax:
Practice Address - Street 1:12631 EAST 17TH AVENUE, ROOM L-15-1417
Practice Address - Street 2:DEPARTMENT OF CLINICAL PHARMACY, C-238 L-15
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2527
Practice Address - Country:US
Practice Address - Phone:303-724-2651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044477183500000X
COPHA-159091835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist