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NPI Code Detail

MEDICARE: DR. ROGER E FOSTER II PHARM D

MEDICARE: DR. ROGER E FOSTER II PHARM D
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
1183500000XPharmacist12336SC

General Provider Information

NPI Number : 1063734804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER E FOSTER II PHARM D
Provider Business Mailing Address
First Line : 1008 OAKLAND AVE
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-3035
Country : US
Telephone Number : 803-980-1350
Fax Number :
Provider Business Practice Location Address
First Line : 1008 OAKLAND AVE
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-3035
Country : US
Telephone Number : 803-980-1350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2010
Last Update Date : 02/21/2010

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