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NPI Code Detail

MEDICARE: MR. THOMAS LAWRENCE FOSTER RPH

MEDICARE: MR. THOMAS LAWRENCE FOSTER RPH
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
1183500000XPharmacistPHA.001134CO

General Provider Information

NPI Number : 1093176422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS LAWRENCE FOSTER RPH
Provider Business Mailing Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number : 970-257-7802
Provider Business Practice Location Address
First Line : 2512 BROADWAY
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-2758
Country : US
Telephone Number : 970-257-0233
Fax Number : 970-257-7802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2016
Last Update Date : 03/12/2016

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