Provider Demographics
NPI:1295057800
Name:HARTMAN, WARREN LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:LEE
Last Name:HARTMAN
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 1:2665 W. EISENHOWER BLVD.
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-3156
Mailing Address - Country:US
Mailing Address - Phone:970-663-4044
Mailing Address - Fax:
Practice Address - Street 1:2665 W EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3156
Practice Address - Country:US
Practice Address - Phone:970-663-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist