Healthcare Provider Details

I. General information

NPI: 1720907108
Provider Name (Legal Business Name): BRENDA FOUST RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N GRANDVIEW AVE
DUBUQUE IA
52001-6388
US

IV. Provider business mailing address

7260 N BADGER RD
EAST DUBUQUE IL
61025-9515
US

V. Phone/Fax

Practice location:
  • Phone: 563-589-2472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17337
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: