Provider Demographics
NPI:1629412358
Name:HASMAN, BARRY LEE (RPH)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:LEE
Last Name:HASMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 N FRONTAGE RD W
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-4897
Mailing Address - Country:US
Mailing Address - Phone:970-476-1621
Mailing Address - Fax:970-476-5438
Practice Address - Street 1:2109 N FRONTAGE RD W
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-4897
Practice Address - Country:US
Practice Address - Phone:970-476-1621
Practice Address - Fax:970-476-5438
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist