Individual
MRS. MICHELLE D. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3414 W OKMULGEE ST, MUSKOGEE, OK 74401-5071
(918) 682-7765
(918) 682-7772
Mailing address
3414 W OKMULGEE ST, MUSKOGEE, OK 74401-5071
(918) 682-7765
(918) 682-7772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U080927068
OKLAHOMA DRIVER LICENSE
OK
Enumeration date
06/05/2019
Last updated
06/05/2019
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