Individual
MR. ERIC FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
N2934 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 787-5757
(920) 787-5382
Mailing address
PO BOX 645, WAUTOMA, WI 54982-0645
(920) 787-5757
(920) 787-5382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11391-40
WI
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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