Individual
SHELLY M FOSTER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-6375
Mailing address
PO BOX 134, DETROIT LAKES, MN 56502-0134
(218) 766-2864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115057
MN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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