Individual
JOHN FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6528
Mailing address
765 MAROONGLEN CT, COLORADO SPRINGS, CO 80906-6810
(719) 538-4551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14236
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14236
STATE LICENSE NUMBER
CO
Enumeration date
11/16/2006
Last updated
07/08/2007
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