Healthcare Provider Details

I. General information

NPI: 1588171847
Provider Name (Legal Business Name): BELINDA FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 CLAREMONT AVE
ASHLAND OH
44805
US

IV. Provider business mailing address

419 CLAREMONT AVE
ASHLAND OH
44805
US

V. Phone/Fax

Practice location:
  • Phone: 419-289-3717
  • Fax:
Mailing address:
  • Phone: 419-289-3717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03225242
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: