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NPI Code Detail

MEDICARE: TAMMY C FOSTER

MEDICARE: TAMMY C FOSTER
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPD08723AR

General Provider Information

NPI Number : 1386282101
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY C FOSTER
Provider Business Mailing Address
First Line : 2020 WHISPERING PINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72210-5454
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 N RODNEY PARHAM RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-4845
Country : US
Telephone Number : 501-221-8301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 02/22/2020

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