Provider Demographics
NPI:1689094468
Name:BARSOUM, RASHA R (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:RASHA
Middle Name:R
Last Name:BARSOUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 TREELEDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6123
Mailing Address - Country:US
Mailing Address - Phone:719-590-8931
Mailing Address - Fax:
Practice Address - Street 1:5921 TREELEDGE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6123
Practice Address - Country:US
Practice Address - Phone:719-590-8931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2015-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist