MEDICARE: DR. TAMARA FOREMAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH100000063	DC

General Provider Information

NPI Number	:	1518125970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMARA FOREMAN PHARMD

Provider Business Mailing Address
First Line	:	4018 Q ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1059
Country	:	US
Telephone Number	:	202-248-6676
Fax Number	:

Provider Business Practice Location Address
First Line	:	4018 Q ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1059
Country	:	US
Telephone Number	:	202-248-6676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2008
Last Update Date	:	06/01/2008

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