MEDICARE: DR. EMERALD B FOSTER 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
1	1835P1200X	Pharmacotherapy Pharmacist	11053	NV
2	1835P1200X	Pharmacotherapy Pharmacist	44824	CA

General Provider Information

NPI Number	:	1528069564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMERALD B FOSTER PHARM.D

Provider Business Mailing Address
First Line	:	54 TANGLEWOOD DRIVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012
Country	:	US
Telephone Number	:	702-353-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	4877 MAIDEN COURT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130
Country	:	US
Telephone Number	:	702-353-6365
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	07/08/2007

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