Individual
STEPHEN ERVIN FOSTER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3780 MAIN ST, PHILADELPHIA, PA 19127-2108
(215) 508-3607
(215) 508-9021
Mailing address
27 WALNUT ST, MORTON, PA 19070-1518
(215) 828-5897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP029817L
PA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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