Provider Demographics
NPI:1477117398
Name:BARRETT, JASON SEAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:SEAN
Last Name:BARRETT
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 1:403 S OXFORD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-4202
Mailing Address - Country:US
Mailing Address - Phone:215-269-7900
Mailing Address - Fax:215-269-9418
Practice Address - Street 1:403 S OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-4202
Practice Address - Country:US
Practice Address - Phone:215-269-7900
Practice Address - Fax:215-269-9418
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038098L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist