Individual
MS. DORIAN MERCEDES FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
900 W DEUCE OF CLUBS, SHOW LOW, AZ 85901-6214
(928) 532-5659
Mailing address
900 W DEUCE OF CLUBS, SHOW LOW, AZ 85901-6214
(928) 532-5659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043807
NY
183500000X
Pharmacist
Primary
S021101
AZ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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