Individual
DR. DERRICK ANTHONY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., RPH, B.S.
Contact information
Practice address
1418 E UNIVERSITY DR, EDINBURG, TX 78539-3710
(770) 856-7405
Mailing address
6427 IVEY TERRACE DR SE, MABLETON, GA 30126-4540
(770) 856-7405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54713
TX
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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