MEDICARE: DEAN ARTHUR 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
1	183500000X	Pharmacist	PS23961	FL
2	183500000X	Pharmacist	PH16054	MA
3	183500000X	Pharmacist	R0990	NH

General Provider Information

NPI Number	:	1790055002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN ARTHUR FOSTER

Provider Business Mailing Address
First Line	:	2235 PARR DR
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-5381
Country	:	US
Telephone Number	:	352-391-9457
Fax Number	:	352-391-9464

Provider Business Practice Location Address
First Line	:	2235 PARR DR
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-5381
Country	:	US
Telephone Number	:	352-391-9457
Fax Number	:	352-391-9464

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

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	01/03/2012

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Directions to “ DEAN ARTHUR FOSTER ” Practice Location

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