Healthcare Provider Details

I. General information

NPI: 1467664227
Provider Name (Legal Business Name): VERONICA K FOSTER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 12/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 MAIN ST
MUNFORDVILLE KY
42765-9043
US

IV. Provider business mailing address

232 MAIN ST
MUNFORDVILLE KY
42765-9043
US

V. Phone/Fax

Practice location:
  • Phone: 270-524-3669
  • Fax: 270-524-5891
Mailing address:
  • Phone: 270-524-3669
  • Fax: 270-524-5891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10425
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: